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MN1-5482 Rev.2

ULTRASOUND DIAGNOSTICINSTRUMENT

Instruction ManualMeasurement (volume 2/2)

Instruction manuals consist of this manual,Safety Instruction and How to Use.Before using this instrument, please readSafety Instruction.

Note

2 MN1-5482 Rev.2

MN1-5482 Rev.2 3

Introduction

IntroductionThis is an instruction manual for model Prosound α6, an ultrasound diagnostic instrument.

Before using this instrument, please read Safety Instruction. Especially be sure to read Chapter 1. "Safety Precau-tions".

Keep this manual securely for future reference.

This instrument and the manuals use the following symbols for safety use. Do understand the meaning before read-ing the text of this manual.

Contents of cautions shows the following graphics.

Classification of Prosound α6

• Protection against electric shock: Class I medical electrical equipment• Applied parts:Type BF applied parts• Protection against defibrillator emissions: Not compatible with defibrillator-proof applied parts• Protection against harmful ingress of water or particulate matter: Ordinary protection (IPX0)• Level of safety for use in air and flammable anesthetic gas, or in oxygen/nitrous oxide and flammable anesthetic

gas:This instrument is not suitable for use in air and flammable anesthetic gas, or in oxygen/nitrous oxide and flam-mable anesthetic gas.

• Operation mode: Continuous operation

Indicates an imminently hazardous situation which, if not avoided, will result in death or serious injury.

Indicates a potentially hazardous situation which, if not avoided, will result in death or serious injury.

Indicates a potentially hazardous situation which, if not avoided, may result in injury or property damage.

Indicates a request concerning an item that must be observed in order to prevent damage or deterioration of the instrument and also to ensure effective use.

This mark means the noted action is "alerted".

This mark means the noted action is "prohibited".

This mark means the noted action is required.

Danger

Warning

Caution

Note

4 MN1-5482 Rev.2

CONTENTSThis book consists of two separate volumes.These two volumes have the same table of contents and the index respectively.

1. Measurement Functions1-1. Preface.......................................................................................................................................................... 1-11-2. Flow of Measurement Operations................................................................................................................ 1-21-3. Switches Used for Measurement.................................................................................................................. 1-3

1-3-1. The function of the panel switch used by the measurement operation ........................................ 1-31-4. Basic Operation Procedure for Measurement .............................................................................................. 1-4

1-4-1. Method of starting measurement.................................................................................................. 1-41-5. Explanation of the Measurement Menus ..................................................................................................... 1-9

1-5-1. When the measurement Study is changed.................................................................................... 1-91-5-2. When the measurement application is changed ......................................................................... 1-10

1-6. Executing the Application Measurement Using the Transfer Function..................................................... 1-111-7. Measurement Mark and Measurement Method ......................................................................................... 1-13

1-7-1. Basic types of marks .................................................................................................................. 1-131-7-2. Auxiliary line type marks........................................................................................................... 1-131-7-3. Display mark .............................................................................................................................. 1-141-7-4. The basic operating method for each mark type ........................................................................ 1-15

1-8. Basic Measurement Functional Outline..................................................................................................... 1-241-8-1. Basic Measurement Functional List........................................................................................... 1-24

1-9. Measurement operation procedure............................................................................................................. 1-271-9-1. B mode ....................................................................................................................................... 1-271-9-2. M mode ...................................................................................................................................... 1-461-9-3. D mode ....................................................................................................................................... 1-511-9-4. B/D mode ................................................................................................................................... 1-651-9-5. B (Flow) mode ........................................................................................................................... 1-701-9-6. Calibration.................................................................................................................................. 1-74

1-10. Preset Function........................................................................................................................................... 1-791-10-1. Composition of the preset function ............................................................................................ 1-791-10-2. Basic operations and function of each button ............................................................................ 1-801-10-3. Initializing Preset ....................................................................................................................... 1-811-10-4. Create Measurement Tools ....................................................................................................... 1-821-10-5. Application Measurement Tools ................................................................................................ 1-881-10-6. Study Assignment ...................................................................................................................... 1-971-10-7. SW Assignment........................................................................................................................ 1-101

1-11. Calculation Formula & Reference ........................................................................................................... 1-1051-11-1. Calculation ............................................................................................................................... 1-105

1-12. Abbreviation............................................................................................................................................. 1-109

2. Cardiac Measurement2-1. Preface.......................................................................................................................................................... 2-12-2. Cardiac Measurement Functional Outline ................................................................................................... 2-2

2-2-1. Cardiac Measurement Functional List ......................................................................................... 2-2

MN1-5482 Rev.2 5

2-2-2. Items of Special Note....................................................................................................................2-72-2-3. Measurement Views for Measuring Cardiac Functions ...............................................................2-8

2-3. Measurement operation procedure .............................................................................................................2-102-3-1. B mode........................................................................................................................................2-112-3-2. M mode.......................................................................................................................................2-322-3-3. D mode........................................................................................................................................2-412-3-4. Time to Onset measurement .......................................................................................................2-692-3-5. Flow mode ..................................................................................................................................2-73

2-4. Report function ...........................................................................................................................................2-802-4-1. Basic Operation of a Report .......................................................................................................2-802-4-2. Report Block...............................................................................................................................2-812-4-3. Description of Various Data Displayed in a Report ...................................................................2-852-4-4. Function that Attaches an Ultrasound Image to a Report...........................................................2-872-4-5. Printing Function ........................................................................................................................2-902-4-6. Output to a Personal Computer...................................................................................................2-922-4-7. Output to a CSV file ...................................................................................................................2-93

2-5. Preset function ............................................................................................................................................2-942-5-1. Preset Settings(Cardiac Measurement).......................................................................................2-942-5-2. PRESET list ................................................................................................................................2-95

2-6. Calculation Formula & Reference............................................................................................................2-1032-6-1. Calculation................................................................................................................................2-1032-6-2. Clinical References...................................................................................................................2-113

2-7. Abbreviation .............................................................................................................................................2-121

3. Vascular Measurement3-1. Preface ..........................................................................................................................................................3-13-2. Vascular Measurement Functional Outline ..................................................................................................3-2

3-2-1. Vascular Measurement Functional List ........................................................................................3-23-2-2. Items of Special Note....................................................................................................................3-3

3-3. Measurement operation procedure ...............................................................................................................3-43-3-1. B mode..........................................................................................................................................3-63-3-2. D mode........................................................................................................................................3-12

3-4. Report function ...........................................................................................................................................3-243-4-1. Basic Operation of a Report .......................................................................................................3-243-4-2. Report Block...............................................................................................................................3-253-4-3. Description of Various Data Displayed in a Report ...................................................................3-293-4-4. W. Trace Function ......................................................................................................................3-363-4-5. Function that Attaches an Ultrasound Image to a Report...........................................................3-383-4-6. Printing Function ........................................................................................................................3-413-4-7. Output to a Personal Computer...................................................................................................3-433-4-8. Output to a CSV file ...................................................................................................................3-44

3-5. Preset function ............................................................................................................................................3-453-5-1. Preset Settings.............................................................................................................................3-453-5-2. PRESET list ................................................................................................................................3-46

3-6. Calculation Formula & Reference..............................................................................................................3-523-6-1. Calculation..................................................................................................................................3-52

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3-6-2. Anatomy Check List .................................................................................................................. 3-533-6-3. Clinical References .................................................................................................................... 3-55

3-7. Abbreviation............................................................................................................................................... 3-56

4. Abdominal measurement4-1. Preface.......................................................................................................................................................... 4-14-2. Abdominal Measurement Functional Outline.............................................................................................. 4-2

4-2-1. Abdominal Measurement Functional List.................................................................................... 4-24-2-2. Items of Particular Note ............................................................................................................... 4-4

4-3. Measurement operation procedure............................................................................................................... 4-54-3-1. B mode ......................................................................................................................................... 4-64-3-2. D mode ....................................................................................................................................... 4-15

4-4. Report function .......................................................................................................................................... 4-234-4-1. Basic Operation of a Report ....................................................................................................... 4-234-4-2. Report Block .............................................................................................................................. 4-244-4-3. Description of Various Data Displayed in a Report................................................................... 4-284-4-4. Graph.......................................................................................................................................... 4-314-4-5. W. Trace..................................................................................................................................... 4-324-4-6. Function that Attaches an Ultrasound Image to a Report .......................................................... 4-344-4-7. Printing Function........................................................................................................................ 4-374-4-8. Output to a Personal Computer .................................................................................................. 4-394-4-9. Output to a CSV file................................................................................................................... 4-40

4-5. Preset function............................................................................................................................................ 4-414-5-1. Preset Settings ............................................................................................................................ 4-414-5-2. PRESET list ............................................................................................................................... 4-42

4-6. Calculation Formula & Reference ............................................................................................................. 4-484-6-1. Calculation ................................................................................................................................. 4-484-6-2. Clinical References .................................................................................................................... 4-48

4-7. Abbreviation............................................................................................................................................... 4-49

5. Obstetrical Measurement5-1. Preface.......................................................................................................................................................... 5-15-2. Obstetrical Measurement Functional Outline .............................................................................................. 5-2

5-2-1. Obstetrical Measurement Functional List .................................................................................... 5-25-2-2. List of obstetrical measurement name built into system.............................................................. 5-55-2-3. Items of Special Note ................................................................................................................... 5-9

5-3. Measurement operation procedure............................................................................................................. 5-105-3-1. B mode ....................................................................................................................................... 5-115-3-2. M mode ...................................................................................................................................... 5-255-3-3. D mode ....................................................................................................................................... 5-275-3-4. Multiple pregnancies.................................................................................................................. 5-325-3-5. Interval Growth Rate.................................................................................................................. 5-34

5-4. Report function .......................................................................................................................................... 5-355-4-1. Basic Operation of a Report ....................................................................................................... 5-355-4-2. Report Block .............................................................................................................................. 5-36

MN1-5482 Rev.2 7

5-4-3. Description of Various Data Displayed in a Report ...................................................................5-405-4-4. Function that Attaches an Ultrasound Image to a Report...........................................................5-545-4-5. Printing Function ........................................................................................................................5-575-4-6. Output to a Personal Computer...................................................................................................5-595-4-7. Output to a CSV file ...................................................................................................................5-60


5-6. Calculation Formula & Reference & Table................................................................................................5-725-6-1. Calculation..................................................................................................................................5-725-6-2. Anatomy Check List ...................................................................................................................5-785-6-3. BPP Scoring................................................................................................................................5-805-6-4. References...................................................................................................................................5-825-6-5. Data in the fetal growth table inside the system.........................................................................5-96

5-7. Abbreviation .............................................................................................................................................5-137

6. Gynecological Measurement6-1. Preface ..........................................................................................................................................................6-16-2. Gynecological Measurement Functional Outline .........................................................................................6-2

6-2-1. Gynecological Measurement Functional List ...............................................................................6-26-2-2. Items of Special Note....................................................................................................................6-3

6-3. Measurement operation procedure ...............................................................................................................6-46-3-1. B mode..........................................................................................................................................6-66-3-2. D mode........................................................................................................................................6-13

6-4. Report function ...........................................................................................................................................6-156-4-1. Basic Operation of a Report .......................................................................................................6-156-4-2. Report Block...............................................................................................................................6-166-4-3. Description of Various Data Displayed in a Report ...................................................................6-206-4-4. Function that Attaches an Ultrasound Image to a Report...........................................................6-276-4-5. Printing Function ........................................................................................................................6-306-4-6. Output to a Personal Computer...................................................................................................6-326-4-7. Output to a CSV file ...................................................................................................................6-33


6-6. Calculation Formula & Reference..............................................................................................................6-406-6-1. Calculation..................................................................................................................................6-406-6-2. Anatomy Check List ...................................................................................................................6-406-6-3. Clinical References.....................................................................................................................6-41

6-7. Abbreviation ...............................................................................................................................................6-43

7. Urological Measurement7-1. Preface ..........................................................................................................................................................7-17-2. Urological Measurement Functional Outline ...............................................................................................7-2

7-2-1. Urological Measurement Functional List .....................................................................................7-2

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7-2-2. Items of Particular Note ............................................................................................................... 7-37-3. Measurement operation procedure............................................................................................................... 7-4

7-3-1. B mode ......................................................................................................................................... 7-67-3-2. D mode ....................................................................................................................................... 7-18

7-4. Report function .......................................................................................................................................... 7-207-4-1. Basic Operation of a Report ....................................................................................................... 7-207-4-2. Report Block .............................................................................................................................. 7-217-4-3. Description of Various Data Displayed in a Report................................................................... 7-257-4-4. Graph function ........................................................................................................................... 7-307-4-5. Function that Attaches an Ultrasound Image to a Report .......................................................... 7-317-4-6. Printing Function........................................................................................................................ 7-347-4-7. Output to a Personal Computer .................................................................................................. 7-367-4-8. Output to a CSV file................................................................................................................... 7-37


7-6. Calculation Formula & Reference ............................................................................................................. 7-437-6-1. Calculation ................................................................................................................................. 7-437-6-2. References .................................................................................................................................. 7-44

7-7. Abbreviation............................................................................................................................................... 7-46

8. eTRACKING Measurement8-1. Preface.......................................................................................................................................................... 8-18-2. eTRACKING Measurement Functional Outline ......................................................................................... 8-1

8-2-1. Outline of Function ...................................................................................................................... 8-18-2-2. Measurement operation procedure............................................................................................... 8-1

8-3. Report function ............................................................................................................................................ 8-28-3-1. Basic Operation of a Report ......................................................................................................... 8-28-3-2. Report Block ................................................................................................................................ 8-38-3-3. Description of Various Data Displayed in a Report..................................................................... 8-58-3-4. Function that Attaches an Ultrasound Image to a Report ............................................................ 8-78-3-5. Printing Function........................................................................................................................ 8-108-3-6. Output to a Personal Computer .................................................................................................. 8-128-3-7. Output to a CSV file................................................................................................................... 8-13


MN1-5482 Rev.2 4-1

This section consists of 50 pages.

4-1.Preface

4.Abdominal measurement

4. ABDOMINAL MEASUREMENT4-1. Preface

The description concerning the Abdominal measurement functions is divided into the following six sub-sections.

4-1. Preface4-2. Abdominal Measurement Functional Outline4-3. Measurement operation procedure4-4. Report Function4-5. Preset Function4-6. Calculation Formula & Reference

This section describes the procedure for carrying out abdominal measurements, based on the assumption that prod-ucts are on the factory default.

Descriptions of the basic operations of the measurement functions and each measurement method (mark type = Caliper, Trace, etc.) are given in the Section 1. ﾒﾓMEASUREMENT FUNCTIONS .

4-2 MN1-5482 Rev.2

4-2.Abdominal Measurement Functional Outline


4-2. Abdominal Measurement Functional Outline

4-2-1. Abdominal Measurement Functional List

Abdominal measurements use studies consisting of various combinations of the measurement menu, report display,and so on, depending which part is being examined and the purpose of the examination.

[Remark]On the factory default, it contains Basic Study.

The abdominal measurement is divided as shown in the figure below for each mode.

: Items that are displayed on the factory default.

4-2-1-1. B mode

Measurement function

Measurement menu

Display items Remark

Gallbladder measurement

Gallbladder GB-L GB-W Measured at one cross-section.

GB Wall-T GB Wall-T

CBD measurement CBD CBD Measured at one cross-section.

Liver measurement Liver (Left Lobe) Liver (Right Lobe)

L1 L2 Measurement of left lobe and right lobe.

Pancreas measurement

Pancreas Head Body Tail Measured at multiple cross-sections.

P-Duct P-Duct Measured at one cross-section.

Renal measurement Renal Volume(Right, Left)

Vol. Rnl-L Rnl-W Rnl-AP Measured at two cross-sections.

Spleen measurement Spleen a b SI SI: Spleen Index(axb)

Space-occupying lesion measurement

SOL1SOL2

d1 d2 d3 Area Measured at two cross-sections.

Volume

Blood vessel diameter measurement

Aorta Diam Aorta Diam Measured at one cross-section.

PV Diam PV Diam

% stenosis measurement

%STENO Diam %STENO Area

Vessel Resid %STENO Diagnosis for the rate of stenosis.

MN1-5482 Rev.2 4-3



4-2-1-2. D mode

4-2-1-3. B mode, D mode


Measurement menu


Artery measurement

A-Ao, CA, CHA, SA, SMA, IMA, CIA, HA, Prandial SMA, Artery1, Artery2, Artery3*Artery1— 3: It is possible to freely define and use a name according to the particular purpose and application.

PI RI S/D PSV Diagnosis for the rate of stenosisCIA: Consists of Right/LeftPrandial SMA: Consists of Pre/Pst

EDV MnV ACC AccT

Renal Artery measurement

Renal-A PI RI, S/D PSV Diagnosis of degree of stenosisConsists of Right/Left

EDV MnV ACC AccT

FlowT AccT/FT

Portal vein measurement

Main PVRt.PVLt.PV

pV For portal vein blood flow.

Shunt blood vessel measurement

Pre Shunt PVProx ShuntMid ShuntDistal Shunt

pV For shunt blood flow measurement.


Measurement menu


Flow quantity measurement

F.Volume (Abdom)(MnV) MnV pV VTI AccT For steady state blood flow.ACC FV CSD CSA

F.Volume (Abdom)(VTI) MnV pV VTI AccT For arterial blood flow.

ACC FV(beat) FV(min) CSD

CSA HR

4-4 MN1-5482 Rev.2



4-2-2. Items of Particular Note

For blood flow velocity measurement:When recording an arterial flow Doppler waveform (pulse method), if the Doppler incident angle exceeds 60× themeasurement error becomes large.The measured values of the blood flow values obtained using this equipment are the absolute values displayed onthe observation monitor. They are controlled as positive and negative values for the purpose of calculating the arith-metic index.If the display of each measured value in a report is set to “Average” in a preset, the positive and negative values areadded together and displayed as a mean value. Consequently, when performing multiple measurements of bloodflow on the blood flow waveform drawn using the color Doppler method as a guide, use identical recording condi-tions (forward and reverse flow directions) for all of the blood flow waveforms in order to correctly display each ofthe arithmetic values arranged in the report.

MN1-5482 Rev.2 4-5

4-3.Measurement operation procedure


4-3. Measurement operation procedureAbdominal measurement has the following study.

Basic Study

When multiple Studies are set by the preset function, it can be possible to switch the Study & Application by thetouch panel.

<Displaying marks of registered reports >

When the registration of the report is made after a measurement is made for each item, the number of registrationtimes is displayed on the touch panel.

[Remark]The display examples of the measurement results, in this chapter, are displayed with a vertical display layout.

The number of registration times

4-6 MN1-5482 Rev.2



4-3-1. B mode

4-3-1-1. Gallbladder measurement

This is the measurement of the length and width of the vertical cross-section of the gallbladder.

<Operation method>

(1) Record a slice image of the gall bladder in the B mode.

(2) Select the Gallbladder on the touch panel.

→ The + mark is displayed, so measure the Length.

(3) Press the + switch.→ Measure the Width.

(4) Press the ENTER switch and keep it depressedmomentarily.→ Measurement is finalized.

<Example of Gallbladder results display>

4-3-1-2. GB Wall-T measurement

This is the measurement of the thickness of the gallbladder wall.

<Operation method>

(1) Record a slice image of the gallbladder in the B mode.

(2) Select the GB Wall-T on the touch panel.→ The + mark is displayed, so measure the GB wall thickness.

(3) Press the ENTER switch and keep it depressed momentarily.→ Measurement is finalized.

<Example of GB Wall-T results display>

Width

GB Wall-T

Length

← Length of the gallbladder← Width of the gallbladder

GallbladderGB-L: . cmGB-W: . cm

← Thickness of gallbladder wallGB-Wall-T: . cm

MN1-5482 Rev.2 4-7



4-3-1-3. CBD measurement

This is the measurement of the diameter of the common bile duct.

<Operation method>

(1) Record a slice image of the common bile duct in the B mode.

(2) Select the CBD on the touch panel.

→ A + mark appears, so measure the diameter of thecommon bile duct.

(3) Press the ENTER switch and keep it depressed mo-mentarily.→ Measurement is finalized.

<Example of CBD results display>

4-3-1-4. Liver measurement

This is the measurement of the left and right lobes of the liver.The method of measurement for both the left and right lobes is the same.

<Operation method>

(1) Record a slice image of the right (or left) lobe in the B mode.

(2) Select Right or Left of Liver on the touchpanel.→ The + mark is displayed, so measure

the Length1.

(3) Press the + switch.→ Measure the Length2.

(4) Press the ENTER switch and keep it de-pressed momentarily.→ Measurement is finalized.

<Example of Liver results display>

CBD

← Common Bile Duct← Diameter of the common bile duct

CBD:. cm

Length1 Length1

Left Lobe Right Lobe

← Length 1 of the right or left lobe of the liver← Length 2 of the right or left lobe of the liver

Liver (Right) Liver (Left)L1: . cm L1: . cmL2: . cm L2: . cm

4-8 MN1-5482 Rev.2



4-3-1-5. Pancreas measurement

This is the measurement of the head, body and tail of the pancreas from its cross-section.

<Operation method>

(1) Record a slice image showing the head of the pancreas.

(2) Select the Pancreas on the touch panel, and then selectHead.→ The + mark is displayed, so measure the Head.

(3) Record a slice image showing the body of the pancreas,and then press the + switch.→ Measure the Body.

(4) Record a slice image showing the tail of the pancreas, and then press the + switch.→ Measure the Tail.


<Example of Pancreas results display>

4-3-1-6. P-Duct measurement

This is the measurement of the diameter of the pancreatic duct.

<Operation method>

(1) Record a slice image of the pancreas showing the pancreatic duct in the B mode.

(2) Select the P-Duct on the touch panel.→ The + mark is displayed, so measure the pancreatic duct.


<Example of P-Duct results display>

Tail

Body

Head

P-Duct

← Diameter of head of pancreas← Diameter of body of pancreas← Diameter of tail of pancreas

PancreasHead: . cmBody: . cmTail: . cm

← Diameter of pancreatic ductP-Duct:

. cm

MN1-5482 Rev.2 4-9



4-3-1-7. Renal Volume measurement

Approximate each of the left and right renal volume to an ellipsoid, measure the major and minor axes of the trans-verse image (Width, A-P) and the length of the major axis of the longitudinal image (Length), and calculate the vol-ume of each renal.

[Remark]Measure these three axes in such a way that they intersect each other.The switching between the Right and Left can be made with the touch panel.The operation procedure for both kinds of measurement is the same.

<Operation method>

The case of the Right of the Renal Volume is explained.

(1) Display the longitudinal and transverse images of the right kidney in the 2B mode.

(2) Select the Right of the Renal Volume on the touch panel.→ The + mark is displayed, so measure the Length using the longitudinal image.

(3) Press the + switch.→ Measure the Width using the transverse image.

(4) Press the + switch.→ Measure the A-P using the transverse image.

Volume (Rt.Renal Vol.) is computed.


<Example of Renal Volume results display>

Transverse Image

Width

A-P

Longitudinal Image

Length

Right Renal Volume Volume of Renal Lengthof Renal Width of Renal Anterior-posterior of Renal

Rt.Renal VolVol. : . ccRnl-L : . cmRnl-W : . cmRnl-AP: . cm

4-10 MN1-5482 Rev.2



4-3-1-8. Spleen measurement

This measurement is for obtaining the spleen index (SI = axb) from the major diameter (a) and the thickness (b) ofthe spleen.

<Operation method>

(1) Record a slice image of the spleen in the B mode.

(2) Select the Spleen on the touch panel.→ A + mark appears, so measure the major diameter a.

(3) Press the + switch.→ Measure the thickness b.


<Example of Spleen results display>

4-3-1-9. SOL (Space Occupying Lesions) measurement

This is the measurement of the length of the three axes of a space-occupying lesion, such as a tumor, for calculatingthe volume of the lesion using an elliptical approximation.The same operation is used for both SOL1 and SOL2.

<Operation method>

(1) Record a slice image showing the SOL in the 2B mode.

(2) Select the SOL1 on the touch panel.→ A + mark appears, so measure the first axis.

(3) Press the + switch.→ Measure the second axis.

(4) Press the + switch.→ Measure the third axis.


<Example of SOL results display>

b

a

← Major diameter of spleen← Thickness of spleen← Spleen Index (=axb)

Spleena : . cmb : . cmSI: . cm2

Diam1

Diam2 Diam3

MN1-5482 Rev.2 4-11



← Volume← Area← Diameter of first axis← Diameter of second axis← Diameter of third axis

SOL1Vol.: . cm3

Area: . cm2

d1 : . cmd2 : . cmd3 : . cm

4-12 MN1-5482 Rev.2



4-3-1-10. Blood vessel diameter measurement

This is the measurement of the diameter of the aorta and the portal vein. The method of measurement used for boththe aorta and the portal vein is the same.

<Operation method>

(1) Record a slice image of the aorta (or the portal vein) in the B mode.

(2) Select the Aorta Diam or PV Diam on the touch panel.→ A + mark appears, so measure the diameter of the aorta (or the portal vein).


<Example of Aorta Diam results display>

<Example of PV Diam results display>

← Diameter of aortaAorta Diam:

. cm

← Diameter of portal veinPV Diam:

. cm

MN1-5482 Rev.2 4-13



4-3-1-11. Rate of %Stenosis measurement

One of the following two methods can be used to evaluate the % stenosis.

1) Evaluation by calculation from the diameter (% STENO-Diam)2) Evaluation by calculation from the cross-sectional area (% STENO-Area)

1) % STENO-Diameter measurement

Measure the % stenosis of a blood vessel by measuring the blood vessel lumen diameter using a transverse image

<Operation method>

The following description is based on the case of % STENO Diam.

[Remark]You can perform this measurement using the Study for the arterial system.(1) Display the transverse image of the short axis that intersects the location of the stenosis at right angles to it.

(2) Select the% STENO Diam on the touch panel.→ Measure the intrinsic internal diameter a of the blood vessel (Vessel).

(3) Press the + switch.→ Using the same operation as (2), measure the residual

lumen diameter b (Residual) of the stenosis.

(4) Press the ENTER switch and keep it depressed momentari-ly.→ Measurement is finalized.

<Example of % STENO-Diameter results display>

% STENO= (a - b) / a × 100 (a > b)

a: Vessel lumenb: Residual

The diameter of the lumen of the original blood vessel (Vessel) The diameter of the lumen of the stenosis part of the blood vessel (Residual) Rate of the stenosis

STENO-DiamVessl: . mmResid: . mm%STENO: . %

4-14 MN1-5482 Rev.2



2) % STENO-Area measurement

Measure the % stenosis of a blood vessel by measuring the cross-sectional area of the blood vessel using a transverseimage.

<Operation method>

The following description is based on the case of % STENO Area.

[Remark]You can perform this measurement using the Study for the arterial system.

(1) Display the transverse image of the short axis that intersects the location of the stenosis at right angles to it.

(2) Select the % STENO Area on the touch panel.→ Trace the intrinsic internal diameter A of the blood vessel (Vessel) using the Ellipse method.

(3) Press the + switch.→ Trace the residual lumen diameter B (Residual) of the

stenosis using the Trace method.

(4) Press the ENTER switch and keep it depressed momentari-ly.→ Measurement is finalized.

[Remark]Vessel measurement is set to the Ellipse method, and Residual measurement to the Trace method, by means of apreset.You can change the preset to other methods (Trace, Circle).For the method of using each method, refer to Section 1-7-4-2. ?Method of performing a measurement using Ellipse?,Section 1-7-4-3. ?The measurement procedure of the Circle mark method? and Section 1-7-4-4. ?The measurementprocedure of the B-Trace method?.

<Example of % STENO-Area results display>

% STENO= (a - b) / a × 100 (a > b)

a: Vessel lumenb: Residual

The area of the lumen of the original blood vessel (Vessel) The area of the lumen of the stenosis part of the blood vessel (Residual) Rate of the stenosis

STENO-AreaVessl: . cm2

Resid: . cm2

%STENO: . %

MN1-5482 Rev.2 4-15



4-3-2. D mode

4-3-2-1. Measurements of abdominal region arterial blood flow

With tracing or pointing the Doppler waveforms (pulse method) of arterial blood flows in the abdominal region, itis demanded of the blood flow measurement data (PSV, EDV, and S/D of bloodstream).As measurement menu, A-Ao, CA, CHA, SA, SMA, IMA, CIA, Renal-A, HA and Prandinal SMA are arranged.In the CIA, HA and Renal-A, these can be switched for performing the Right/Left switching on the touch panel.Also, Prandinal SMA enables you to perform the changeover from before eating to after eating by using Pre/Poston the touch panel.For each blood flow measurement, there are two measurement procedures (Trace or Caliper) available and they areselected with the touch panel.

[Remark]For the calculation of PI and RI, a systolic maximum blood flow rate (PSV) and an end-diastolic blood flow rate(EDV)are used. In addition, as for the index, there is a report that an end-diastolic minimum blood flow rate is used.An end-diastolic blood flow rate and an end-diastolic minimum blood flow rate are not necessarily correlation witheach other. Therefore, when these measurements are carried out, move the time phase of EDV to the end-diastolicor the minimum blood flow velocity point with manual operation.The PI and RI are calculated with the blood flow rates at these points.

1) Operation using doppler trace

<Operation method>

The following procedure applies to the CA Dop. Trace method.

(1) Display the blood flow Doppler waveform of a celiac artery.

(2) Select the CA, and select the Flow Trace on the touch panel.→ The line cursor (vertical line) is displayed. (The + mark is displayed

in the case of the Manual Trace method.)

(3) Using the Dop Trace method, trace the blood flow Doppler waveform.→ PI, RI, S/D, etc. are calculated, and line cursors accompanied by the letters “S” and “D” are displayed.

[Remark]Adjust the line cursors accompanied by the letters “S” and “D” using the ENTER switch and the trackball.“S”: Peak Systolic Velocity point “D”: End Diastolic Velocity point[Remark]The method of using the Dop Trace method differs depending upon whether Auto Trace or Manual Trace is used.For the operation method, refer to Section 1-7-4-5. ?The measurement procedure of the Dop-Trace method?.


S

D

4-16 MN1-5482 Rev.2



<Example of CA results display>

2) Operation using points

<Operation method>

The following description is based on CA Dop. Caliper.

(1) Display the blood flow Doppler waveform of a celiac artery.

(2) Select the CA, and select the Caliper on the touch panel.→ The + line cursor is displayed, then move the + mark to the peak systolic velocity (PSV) point.

(3) Press the ENTER switch.→ Move the + mark to the end diastolic velocity (EDV) point.


<Example of CA results display>

[Remark]Other measurements are executed in the same way as in the case of CA Dop. Caliper.

Celiac Artery Pulsatility Index Resistance Index Systolic/Diastolic velocity Ratio Peak systolic velocity End diastolic velocity Mean Velocity

CAPI :RI :S/D: .PSV: . cm/sEDV: . cm/sMnV: . cm/s

Celiac Artery Resistance Index Systolic/Diastolic velocity Ratio Peak systolic velocity End diastolic velocity

CARI :S/D: .PSV: . cm/sEDV: . cm/s

MN1-5482 Rev.2 4-17



4-3-2-2. Measurement of the portal vein and shunt blood flow

Here, the maximum values of the portal vein blood flow and the shunt blood flow are obtained by tracing or point-specifying the Doppler waveform (pulse method).The measurement menus provided are Main PV, Rt.PV and Lt.PV for the portal vein blood flow, and Pre Shunt PV,Prox Shunt, Mid Shunt and Distal Shunt for shunt blood flow.Two methods of measurement (Trace and Caliper) are provided for each blood flow measurement. The desiredmethod can be selected using the touch panel.

1) Operation using doppler trace

<Operation method>

The Dop. Trace method of Main PV measurement is as follows.

(1) Record the blood flow Doppler waveform of the main portal vein.

(2) Select Main PV, and select the Flow Trace on the touch panel.→ A line cursor (vertical line) appears. (In the case of the Manual Trace method, a + mark appears).

(3) Using the Dop Trace method, trace the blood flow Doppler waveform.→ pV appears, and a line cursor not accompanied by “+” is drawn.

[Remark]You can adjust pV using rotary encoder 4.In the Dop Trace method, the operation method of Auto Trace differs from that of Manual Trace.For the operation method, refer to Section 1-7-4-5. ﾒTHE MEASUREMENT PROCEDURE OF THE DOP-TRACEMETHODﾓ


<Example of Main PV results display>

→　Peak VelocityMain PVpV: . cm/s

4-18 MN1-5482 Rev.2



2) Operation using points

<Operation method>

The Main PV measurement is as follows.

(1) Record the blood flow Doppler waveform of the main portal vein.

(2) Select the Main PV, and select the Caliper on the touch panel.→ A + line mark appears, so move the + mark to the maximum blood flow velocity (pV) point.


<Example of Main PV results display>

→　Peak VelocityMain PVpV: . cm/s

MN1-5482 Rev.2 4-19



4-3-2-3. Artery1(-3) measurement

Registrations (and a title is made newly) for an arterial blood flow measurement except for a built-in artery can bemade up to 3 with a preset.The operation procedure for each blood flow measurement conducted here is the same procedure as for Section 4-3-2-1. ?Measurements of abdominal region arterial blood flow?.

<Example of Artery1 results display>

Artery1 Pulsatility Index Resistance Index Systolic/Diastolic velocity Ratio Peak systolic velocity End diastolic velocity Mean Velocity

Artery1PI :RI :S/D: .PSV: . cm/sEDV: . cm/sMnV: . cm/s

4-20 MN1-5482 Rev.2



4-3-2-4. Flow volume

You can calculate the flow volume of blood flowing at a constant velocity or of blood flowing in a peripheral vessel,for example.There are two methods of calculating the flow volume, a method that uses MeanV (mean flow velocity), and a meth-od that uses VTI (velocity time integration).When you select Flow Volume(Abdom), the MeanV switch and VTI switch appear on the screen.You can set which of these functions to be activated first by using a preset.

1) Using Flow Volume (MeanV)

You can calculate the blood flow volume from the mean flow velocity obtained using the Dop Trace method andalso the cross-sectional area of the flow path obtained using the Caliper (Trace, Ellipse or Circle) method.

[Remark]You can set a coefficient (COEF) using a preset. (Refer to Section 1-10-4-1. ?Measured Method & Display items?.)The factory default setting is COEF = 1.00.

For reference: When calculating flow volume using an animal or a phantom, the coefficient (COEF) is betweenabout 0.5 and 0.7. There are reports to the effect that the coefficient is 0.57 in the case of blood flow-ing through the portal vein, and 0.655 in the case of blood flowing through the radial artery.

<Operation method>

Display the B/D mode image.

(1) Press the MEASUREMENT switch or the + switch, and select MeanV of Flow Volume(Abdom).→ The + mark is displayed on the cursor (vertical). (+ mark in the case of the Manual Trace method)

(2) Move the line cursor, and press the ENTER switch.→ The line cursor separates into two at a point 1 sec away.

(3) Press the ENTER switch.→ The Auto Trace function operates, and the mean flow velocity (MnV) is computed.

[Remark]A trace line is automatically drawn, so adjust the detection level of the trace line using rotary encoder 4.If you cannot perform an adjustment satisfactorily using rotary encoder 4, press the CANCEL (Auto Trace cancel)switch or the Trace Manual switch to switch to the Manual mode. For details of the Manual Trace operation, refer to Section 1-7-4-5. ?The measurement procedure of the Dop-Tracemethod?.

MN1-5482 Rev.2 4-21



(4) Press the + switch.→ The + mark is displayed on the B mode image.

(5) Measure the flow path diameter (CSD) using the Caliper method.→ The flow path cross-sectional area (CSA) and the flow volume are computed. (The flow path cross-sec-

tional area is computed on the assumption that it is circular in shape.)

[Remark]In some cases, the flow path cross-sectional area is obtained directly using the Trace, Ellipse or Circle method. Youcan set these functions using the present function. (Refer to Section 4-5-2. ?PRESET list?.)The factory default setting is the Caliper method.[Remark]Regarding the accuracy of the outflow path diameter measurement, the outflow path cross-sectional area is proportional to the square of the outflow path diameter. Consequently, when measuring the outflow path diameter, higher accuracy can be obtained by performing a measurement on an enlarged (ZOOM switch) image.

<Example of Flow Volume results display>

2) Using Flow Volume (VTI)

You can calculate the blood flow rate from the velocity time- integrated (VTI) value for one heartbeat obtained usingthe Dop Trace method, the flow path cross-sectional area (CSA) obtained using the Caliper (Trace, Ellipse, Circle)method, and the blood flow volume from the heart rate.

<Operation method>

Display the B/D mode image

(1) Press the MEASUREMENT switch or the + switch. Select the Flow Volume(Abdom) and then select VTI.→ The + mark is displayed on the cursor (vertical). (+ mark in the case of the Manual Trace method)

(2) Using the trackball, move the line cursor (vertical line) to the 1-heartbeatmeasurement starting point, and press the ENTER switch.

Flow Volume(MnV) MnV : . cm/s CSA : . cm2

CSD : . cm FV : . ml/m COEF: 1.00

Mean velocity Cross-sectional area Cross-sectional diameter Flow Volume Coefficient

4-22 MN1-5482 Rev.2



(3) Using the trackball and ENTER switch, set the trace section, then press the ENTER switch once again.→ The Auto Trace function operates, and it obtains the Velocity time integral and Heart Rate.

[Remark]A trace line is automatically drawn, so adjust the detection level of the trace line using rotary encoder 4.If you cannot perform an adjustment satisfactorily using rotary encoder 4, press the CANCEL (Auto Trace cancel)switch or the Trace Manual switch to switch to the Manual mode. For details of the Manual Trace operation, refer to Section 1-7-4-5. ?The measurement procedure of the Dop-Tracemethod?.[Remark]HR is automatically calculated using the starting point and ending point times on the trace line. The line cursor forthe HR is displayed on the starting and ending points of the trace line. Then measure heart rate of one beat by usingthe trackball and ENTER switch.

(4) Press the + switch.→ The + mark for the flow path diameter (CSD) is displayed on the B mode image

(5) Measure the flow path diameter (CSD) using the Caliper method.→ The flow path cross-sectional area (CSA) and the flow volume are computed. (The flow path cross-sec-

tional area is computed on the assumption that it is circular in shape.)

[Remark]In some cases, the flow path cross-sectional area is obtained by directly using the Trace, Ellipse or Circle method.You can set these functions using the present function. (Refer to Section 4-5-2. ?PRESET list?.)The factory default setting is the Caliper method.[Remark]Regarding the accuracy of the outflow path diameter measurement, the outflow path cross-sectional area is propor-tional to the square of the outflow path diameter. Consequently, when measuring the outflow path diameter, higheraccuracy can be obtained by performing a measurement on an enlarged (ZOOM switch) image.

<Example of Flow Volume(VTI) results display>

F.Volume(VTI) VTI : . cm HR : . BPM CSA : . cm2

CSD : . cm FV : . ml/b FV : . ml/m

Velocity time integral Heart Rate Cross-sectional area Cross-sectional diameter Blood flow corresponding to for one beat Blood flow corresponding to for one minute

MN1-5482 Rev.2 4-23

4-4.Report function


4-4. Report functionA report arranges and displays each index value and measurement value for abdominal measurement related patientinformation.A report displays only the results of measurement. You can register up to six measurement values in a report.

[Remark]You can set the number of values to be registered using the Report Display of Preset.[Remark]Be sure to enter the patient information (Patient ID, Name, etc.) using the ID screen.

4-4-1. Basic Operation of a Report

4-4-1-1. Displaying a Report

In order to display a report, press Report on the touch panel.

4-4-1-2. Ending a Report

The following two patterns are used to end a report.

(1) Press Report on the operation panel.

(2) Select Return on the Report screen.

4-4-1-3. Function buttons on a Report

The following buttons are displayed on the top section of the Report screen.

Return Closes the report.Header Switches the header block (patient data display) between Long Form and Short Form.Prev., Next Advances or returns the page in block units.Study name Switch the study of the displayed report.Graph Displays the transition of the operation index (Area, Volume) of SOL measurement from the past to

the present, in the form of a graph.W.Trace This function displays a Doppler trace line when each blood flow measurement value is obtained, and

also displays the parts of the waveform pattern in front of and after the stenosis as a line.US Image Displays an ultrasound image in the report.Output Outputs report data to a personal computer, Media, printer or saver.

Study name

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4-4.Report function


4-4-2. Report Block

A report block is the unit used to display data (each set of abdominal measurement data).

It arranges pertinent ultrasound information such as the Header (patient information) block, Site information (facil-ities information) block, and Abdominal dop block.

4-4-2-1. Function for displaying the past reports.

It can display past reports that are requested on exam. dates.It is not possible to Edit (revision / deletion) the past measurement records.

(1) Move the arrow to the of the combo box identifying the exam. date, and press the ENTER switch.→ The exam. date of the past is displayed.

(2) Select the exam. date desired for display, and press the ENTER switch.→ The report of the requested exam. date is displayed.

Patient information block from ID screen

Comment

Facilities information (examination,etc.) block input from ID screen

Display block for eachmeasurement result

MN1-5482 Rev.2 4-25

4-4.Report function


4-4-2-2. Comment input function

You can enter comments concerning an ultrasound examination as the results of an ultrasound examination.

(1) Move the arrow to <Comments>, and pressthe ENTER switch.→ A text box for entering a comment

is displayed.

(2) Enter a comment from the keyboard.

(3) Select OK.

[Remark]If you select Cancel, the entered contents are canceled.

4-4-2-3. Edit (edits the data) function

You can delete or modify the measurement results in a report.

[Remark]You can only edit values displayed in yellow.

<Operation method>

(1) Move the arrow to the measurement value, and press the ENTER switch.→ The Edit dialog box is displayed.

All of the measured values are displayed.

Push buttons

Text box Scroll bar

Value used as the report result

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4-4.Report function


(2) Delete :Select the measurement value to be deleted, and press Delete.→ The specified measurement value is deleted, then select OK.

(3) Modify :Select the measurement value to be modified, enter the new value from thekeyboard, then select OK.

→ Displaying a modified measurement value:The mark “#” is attached to the beginning of a measurement item that was modified by entering a nu-merical value.

[Remark]Like PI and RI measurement, there are two items of blood flow velocity data (PSV and EDV) within the period be-tween two heartbeats that are mutually related. Perform an editing operation so as to maintain the mutual time phaserelationship.(4) Change to a different measurement value:

You can change a measurement value displayed on a report to a different measurement value.→ The displayed color of the selected part changes, so press OK.

[Remark]When the setting is “the latest measurement (the last measured one) value is displayed on the screen of the report,”it can be changed to another measurement value. Because it is averaged for all measured values when they are seton the mean value, there is no difference even if any measured value is selected(Refer to Report Data of Section:4-5-2.PRESET list.)

MN1-5482 Rev.2 4-27

4-4.Report function


4-4-2-4. Findings function

The Findings function is a function for inputting and setting remarks concerning ultrasound images of organs.Select a list of comments from the pull-down menu, or enter text from the keyboard.

<Operation method>

The following two methods are available for setting.

• Specifying a comment from the pull-down menu

(1) Move the arrow to of the specified text box, and press the ENTER switch.→ A list of image comments is displayed.

(2) Using the trackball, select the specified comment, and press the ENTER switch.→ The specified comment is transferred to the text box.

• Directly entering (registering) a comment

(1) Move the arrow into the text box, and press the ENTER switch.

(2) Enter a comment from the keyboard.→ The entered information is user-defined and registered in the abovementioned list.

• Deleting a comment from the image comment list

(1) Using the trackball, select a comment, and press Delete switch.→ The specified comment is deleted from the list.

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4-4.Report function


4-4-3. Description of Various Data Displayed in a Report

4-4-3-1. Basic Study Report

B mode abdominal region measurement report

[Remark]You can enter or set an ultrasound comment for each organ as the Findings function, in each block of the B mode.

Gallbladder Block

Common Bile Duct Block

Liver Block

Pancreas Block

Spleen Block

Renal Volume Block

SOL Block

Aorta Block

Portal Vein Block

Findings function

MN1-5482 Rev.2 4-29

4-4.Report function


D mode abdominal region measurement report

[Remark]In Renal Artery Block, it can be input and set the nephric ultrasound findings as a Findings function.It can be selected from the finding list on a pull down menu or can be input letters with the keyboard.

Hepatic Doppler Block Mesenteric Doppler Block

Measurement results and findings report of Hepatic arterial blood flow

Measurement results and findings report of Mesenteric arterial blood flow

Artery Doppler Block Renal Artery Block

Measurement results of Abdominal region Measurement results of Renal arterial blood flowarterial blood flow

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4-4.Report function


Shunt Doppler Block Flow Volume Block

Measurement results and findings report of Shunt blood flow

Measurement results and findings report of Flow Volume

%Stenosis Block

Stenosis rate measurement results

MN1-5482 Rev.2 4-31

4-4.Report function


4-4-4. Graph

The function displays the transition of the area and the volume calculated from SOL measurement, in the form of agraph.

<Operation method>

(1) Move the arrow to the Graph on the report, and press the ENTER switch.→ The Graph menu is displayed.

(2) Select SOL Area or SOL Volume, then select OK.→ A graph is displayed as shown below.

(3) To erase the graph and return to the initial status, select Graph again.

Results summery

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4-4.Report function


4-4-5. W. Trace

This function displays a Doppler trace line when each blood flow measurement value is obtained, and also displaysthe parts of the waveform pattern in front of and after the stenosis as a line.This function is corresponding to the abdominal region artery report

[Remark]This function operates only when the Dop. Trace method is used for a measurement.

<Operation method>

(1) Select the W. Trace on the Report window.

(2) Select the blood vessel block to be displayed, from the pull-down menu.→ A list of names of displayable blood vessels is displayed.

[Remark]You can select a blood vessel block from Artery, Renal-A, Hepatic Doppler, Shunt Doppler and Mesenteric Doppler.[Remark]When a waveform pattern of blood flow displayed at the right side of report is displayed, select the RIGHT Side,and select the LEFT Side for the left side one.

(3) Select OK.→ The measurement value for the left (right) side and also the right (left) blood flow waveform pattern is

displayed, as shown below.

When the Wave Trace function is used

MN1-5482 Rev.2 4-33

4-4.Report function


(4) When you select Return on the Wave Trace window.→　Return to the screen od report.

[Remark]The width of the Wave Trace window is determined by the B/D Format (left and right, and upper and lower B/D,Dop Wide, Normal). Carry out an examination under the same Format conditions.

Right Side Left Side

U/L Normal

U/L Wide

L/R Normal, Wide

B/D Format

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4-4.Report function


4-4-6. Function that Attaches an Ultrasound Image to a Report

This function automatically displays the current ultrasound image acquired by the examiner in the US Image blockof the report.Also, by using the Review function at the bottom of the Report screen, it is possible to display all of the images storedin the connected medium(f.e. HDD and external media such as USB memory) as thumbnail images. You can alsoselect one of these images, and display it in the report.

When you select US Image on the report screen, the US Image block (ultrasound image page) is displayed.To return to a normal report, select US Image once again.

4-4-6-1. Images that can be attached to a report

Images that can be attached to a report are the various ultrasound images of the same patient that are stored in theconnected medium (f.e. HDD and external media such as USB memory) at the storage destination.

4-4-6-2. Limit for holding attached images

Attached images are held until the New Patient function is executed.

MN1-5482 Rev.2 4-35

4-4.Report function


4-4-6-3. Method of attaching images

1) Auto Paste function

The number of images set using the Preset function is automatically selected from the latest images stored in theconnected medium (f.e. HDD and external media such as USB memory) and displayed on the US Image block.

[Remark]The number of displayed images and the display format can be set only by the Preset function.The factory default settings are Display Pasted US Image Form on the Screen: 2 × 2, and the Number of US Imagesto be Automatically Displayed is 4.

The figure at right shows examples of factory default settings.

Regarding the display sequence, the images are automatically pasted from the latest recorded image, from top leftto bottom right.

[Remark]You can set the format of an image displayed on the Report screen to 1 × 1, 2 × 2, 3 × 2 or 3 × 3.

Select Review to change the imagedisplayed on the report.

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4-4.Report function


2) Manual Paste function

<Operation method>

This function enables you to change the automatically attached image to another image, or to add an image.

(1) Select Review at bottom right of the US Image block screen.→ All of images of a patient concerned that are stored in the connected medium (f.e. HDD and external

media such as USB memory) are displayed as thumbnail images.

(2) Move the arrow to the image that you wish to display, and press the ENTER switch.→ The selected image is displayed with a blue border.

Fig. Thumbnail display

[Remark]If you wish to select a number of images, repeat step (2). Pressing the ENTER switch on the selected image erasesthe blue border.

(3) Move the arrow to Paste Desired US, and press the ENTER switch.→ The selected image is displayed in the US Image block.

[Remark]Regarding the “Change View” functionBy selecting Change View at the bottom of the thumbnail display, you can also display past images for the samepatient as thumbnail display.[Remark]Each time you select Change View, the display conditions switch over between “current image only” and “currentand past images”. The particular set of conditions displayed are indicated at top right of the thumbnail screen.

Function that changes over the conditions under whichthe images are displayed on the thumbnail displayCurrent Exam. : Images acquired during the

current examinationCurrent & Post Exam : All current and past images

for the same patient

Select desire US image as follows Current Exam. ViewID ：1234567890Name：abcdefghijklmnop

1 2 3

4 5 6

7 8 9

Return Prev. Next Change View Paste Desired US

The displayed screenshows images acquireddu r in g the cur ren texamination.

MN1-5482 Rev.2 4-37

4-4.Report function


4-4-7. Printing Function

This function outputs the entire report data to a dedicated local printer via a USB interface.The printed data is a text data, graphical data or ultrasound image.

4-4-7-1. Operation sequence

(1) Select Output.→ A select device dialog box is displayed.

(2) Select to Printer, and press OK.→ The Print Data Selection dialog box is displayed.

(3) Select the block that you wish to print.→ The selected block name is highlighted in blue.

[Remark]To cancel the selection, re-select the same block.

(4) Enter the number of copies, and select Print.→ Printing starts, and the dialog box closes.

Printing starts.This function is ended withoutprinting taking place.

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4-4.Report function


4-4-7-2. Property function

This function enables you to make the minimum necessary detailed settings for a local printer and a B/W digitalprinter.

(1) Printer name : Select the model of the printer to be used.

(2) Paper sizes : Set the size of the paper to be used. (US letter, A4 alternative selection)The function does not operate when a digital black and white printer is selected.

(3) Title Inform : Enter the Report Title informationYou can enter up to 80 characters. The print position is always Center.

(4) Site Inform : Enter the facilities information (department, address, telephone No., FAX No., etc.).You can enter up to 80 characters × 5 lines. The print position is always Center.

(5) Orientation : Set the orientation of the paper.At present, the orientation is set to Portrait (vertical direction printing) only.

(6) US Image Form : When printing the US Image block, you can change the printing format to 1 × 2, 1 × 3, 2 × 2 or 2 × 4.The function does not operate when a digital black and white printer is selected.

(7) Signature : Selects if the Signature field is set as Physician only, both Physician and Sonographer, orno field is displayed (None).

[Remark]These settings are held subsequently so long as they are not renewed.

MN1-5482 Rev.2 4-39

4-4.Report function


4-4-8. Output to a Personal Computer

This function outputs the entire report to a personal computer using an RS-232C interface.

4-4-8-1. Operation procedure

(1) Select Output.→ The “Select device” dialog box is displayed.

(2) Select to PC.→ The “Repeat study” dialog box is displayed.

[Remark]If an ID is not input, a message to that effect will be displayed.Press the ID key on the front panel.

(3) If you wish to repeat a study, select Yes and press OK.→ Communication starts.

[Remark]If you select Cancel, the system returns to the status that existed prior to the execution of this function.[Remark]The patient data and all of the data registered in the report (excluding the ultrasound image data) is output data to apersonal computer.

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4-4.Report function


4-4-9. Output to a CSV file

This function outputs the values registered in the report (measured values and calculated values) and the commentdata to the connected medium(f.e. external media such as USB memory) as a CSV file.



(2) Select the Export CSV File.→ The media selection dialog box appears.

[Remark]The filename is automatically attached by means of [ID- Date Application], but can be changed by entering the de-sired name from the keyboard.

(3) Select the medium, enter the filename, and then press OK.→ The data is written to the selected medium.

[Remark]If you select Cancel, the equipment will return to the condition that existed prior to the execution of this function.[Remark]When you open the CSV file, the patient information, numerical values and comments appear in that sequence.

MN1-5482 Rev.2 4-41

4-5.Preset function


4-5. Preset function4-5-1. Preset Settings

The abdominal measurement preset consists of the following three functions.

(1) Create Measurement Tools= Settings related to the measurement procedure, mark size, and report display

(2) Study Assignment = Sets the menu, transfer list, report display configuration, and so on, for each study

(3) SW Assignment = Settings for assigning various measurement functions to switches for shortcut op-erations

The preset functions related to abdominal measurements and their configuration are shown below.

Abdom PresetCreate Measurement Tools Setting of the items that are common to Abdominal measurement and Basic

measurements.Basic Measurement Refer to Section 1-10. ﾒPRESET FUNCTIONﾓ

Application Measurement Settings of method used for Abdominal measurement, Mark Style and result display.Measurement Method & Display Items Selection and setting of each Abdominal measurement method, Mark Style and result

display items.B.Mode B mode measurement settings.M.Mode M mode measurement settings.D.Mode D mode measurement settings.F.Mode Flow mode measurement settings.

Caliper Mark Control Settings of the measurement mark size and dot line. Substituted by Basic measurement preset.

Unit Selection Setting of the display unit for performing Abdominal measurement. Substituted by Basic measurement preset.

Caliper Auto Off Setting of the measurement mark for canceling a freeze condition, and also the automatic result erasure function.

Report Data Selection of the method of displaying measurement values on the report (mean value or not).

Display Form Setting of Abdominal measurement result display style.Mark Display Setting for displaying a caliper mark.

User’s Calculation Function is for making the registration of calculation formulas voluntarily by user.Reserved Word Function is for making the registration name(Reserved Word) voluntarily by user.

Study Assignment Settings of measurement menu registration, report display configuration and transfer list, for each Ultrasonic Examination Study.

Defined study name BasicMenu Assignment Function that enables a measurement menu to be created and edited.Combined Report Display Function that enables the configuration of a report to be edited.Other Function that enables a selection of whether or not to display a measurement operation

guide message.

SW Assignment Setting of registration of the direct execution switches.+ Mark Key Assignment Function that assigns the measurements to be executed when the + switch is pressed.Hot Key Assignment Function that assigns the measurement function that operates when a specific alphabet

key is pressed.Measure SW Assignment Function that assigns the measurement function that operates when the User switch is

pressed.Control Menu Assignment Assigning the control menu on the touch panel.

4-42 MN1-5482 Rev.2

4-5.Preset function


4-5-2. PRESET list

• Abdominal PresetReturns the registered contents to their default settings

• Create Measurement ToolsBasic Measurement

Refer to Section1.

• Measured Method & Display Items (1/3)B mode measurement settings 1


• Measured Method & Display Items (3/3)B mode% STENO measurement settings

• Measured Method & Display Items (1/10)D mode measurement settings 1

MN1-5482 Rev.2 4-43

4-5.Preset function








4-44 MN1-5482 Rev.2

4-5.Preset function





• Caliper Auto Off

OFF : Results and marks not erasedON : Results and marks all erasedAll Mark Erase : Only marks erasedRemain Active Mark : Erases all marks other than for measurement during starting

MN1-5482 Rev.2 4-45

4-5.Preset function


• Report DataSelects either average values or the latest valuesand sets the number of data items registered.Measurement data reuse On/OffPasting of Image

　Setting for display of Transfer List Display

• Display FormSelects vertical or horizontal display and switcheswhether or not measurement item multiple displaysdisplay the measurements only during starting.Changing whether a simultaneous display with the Basic measurement or not.

• Mark DisplaySetting for displaying a caliper mark

• User’s CalculationRegisters Abdominal measurement equation.

• Reserved Word Registers user’s Reserved Word.

4-46 MN1-5482 Rev.2

4-5.Preset function


• Study AssignmentSwitches the display on/off for built-in studies and registers new studies.

• Study AssignmentMenu AssignRegisters to the Menu Assign abdominal measurement menu

• Study AssignmentCombined Report DisplayCombination of measurement blocks to be displayed in the report

• Study AssignmentOtherMeasurement guide message display setting

• SW Assignment+ Mark Key AssignmentRegisters the Basic measurement startedwith the + mark.

• SW AssignmentHot Key AssignmentRegisters measurements to the Keyboard.

MN1-5482 Rev.2 4-47

4-5.Preset function


• SW AssignmentMeasure SW AssignmentRegisters measurements to the Measure switches.

• Control Menu AssignmentRegisters to control menus on the touch panel.

4-48 MN1-5482 Rev.2

4-6.Calculation Formula & Reference


4-6. Calculation Formula & Reference

4-6-1. Calculation

4-6-1-1. Calculation for B-mode

4-6-2. Clinical References

4-6-2-1. D mode

(1) ArteriesMichael Hennerici, Doris Neuerburg-Heusler:Vascular Diagnosis with Ultrasound Clinical References with Case StudiesThieme ISBN: 0-86577-603-2

(2) Hepatic ArteryJohn Herbetko. et al.Venoocclusive Liver Disease After Bone Marrow Transpolation: Findings at Duplex SonographyAJR: 158, May 1992

(3) CHA, SPA, SMATakefumi Nakamura, MD et al.Quantitative Measurement of Abdominal Arterial Blood Flow Using Image-Directed DopplerUltrasonography: Superior Measentric, Splenic, and Common Hepatic Arterial Blood Flow in Normal AdultsJ Cli n Ultrasound 17: 264-268,May 1989

Measurement function name Formula

%STENO Diam %STENO =100 × (A-B)/A

A : Vessel lumen diameter B : Residual diameter

%STENO Area %STENO =100 × (A-B)/A

A : Vessel lumen area B : Residual area

Spleen Index SI =a × b

SOL Area Area =π / 4 × d1 × d2

Volume =π / 6 × d1 × d2 × d3

Renal Volume Vol. 0.49 × Length × Width × A-P

F.Volume(MnV) FV(ml/min) MnV(cm/s) × CSA(cm2) × 60sec

F.Volume(VTI) FV(ml/beat) VTI(cm) × CSA(cm2)

FV(ml/min) FV (ml/beat) × HR(BPM)

MN1-5482 Rev.2 4-49

4-7.Abbreviation


4-7. Abbreviation

Abbreviation Meaning

%STENO %Stenosis

%STENO Area %Stenosis by area

%STENO Diam %Stenosis by Diameter

A-Ao Abdominal Aorta

ACC Acceleration

AccT Acceleration Time

AccT/FT AccT/FT

CA Celiac Artery

CBD Common Bile Duct

CHA Common Hepatic Artery

CIA Common Iliac Artery

Distal Distal

EDV End Diastolic Velocity

FlowT Flow time

MnV Mean Velocity

F.Volume Flow Volume

GB Gallbladder

GB Wall - T Gallbladder Wall Thickness

HA Hepatic Artery

Mid Middle

Pancreas Pancreas

PI Pulsatility Index

PSV Peak Systolic Velocity

Pre Prand Pre Prandial

Post Prand Post Prandial

Prox Proximal

PV Portal Vein

Renal-A Renal Artery

Renal Vol. Renal Volume

Resid Residual

RI Resistance Index

SA Splenic Artery

SOL Space Occupying Lesions

S/D Systolic/Diastolic velocity Ratio

Vessl Vessel

4-50 MN1-5482 Rev.2

4-7.Abbreviation


MN1-5482 Rev.2 5-1


5-1.Preface

5.Obstetrical Measurement

5. OBSTETRICAL MEASUREMENT5-1. Preface

The description concerning the obstetrical measurement functions is divided into the following six sub-sections.

5-1. Preface5-2. Obstetrical Measurement Functional Outline5-3. Measurement operation procedure5-4. Report Function5-5. Preset Function5-6. Calculation Formula & Reference & Table

This section describes the procedure for carrying out obstetric measurements, based on the assumption that productsare on the factory default.

Descriptions for the basic operation of the measurement functions and each measurement method (mark type = Caliper, Trace, etc.) are given in the Section 1. "MEASUREMENT FUNCTIONS".

5-2 MN1-5482 Rev.2

5-2.Obstetrical Measurement Functional Outline


5-2. Obstetrical Measurement Functional Outline

5-2-1. Obstetrical Measurement Functional List

Obstetrical measurement has studies consisting of various combinations of measurement menu, report display, andso on, depending upon the part being examined and the purpose of the examination.

[Remark]On the factory default, this function contains Basic (for general obstetric measurement) Study, Early (for the earlystages of pregnancy) Study, and Twin Basic Study and Twin Early Study (for twins).In addition, you can freely select Extended (for high risk pregnancy), BPP/Amnio (for BPP/amniotic fluid puncturescoring), Anatomy (for an anatomical checklist of the fetus), and functions for triplets, and so on, using a preset.

The obstetrical measurement is divided as shown in the figure below for each mode.


5-2-1-1. B mode

[Remark]The displayed items used in GA measurement, FW measurement and Ratio measurement differ according to the se-lected part name and the author.


Measurement menu


GA measurement (gestational week)

Each GA table nameGA: Author name

The Normal Range display type differs for each table. (±day, ± SD, Upper limit - Lower limit values)

FW measurement (Fetus Weight)

FW(*****) (*****): Author name

Measured at multiple cross-sections.*1:Gestational week from each calculated value*2:Gestational week from FW Table*3:Error from FW Table*4:Expected confinement date from FW Table

Fetus Ratio measurement

@@-@@****:GA measurement name (*****): Author name

Measured at two cross-sections.The author's name is displayed in the report.

Estimated Date ofConfinement

BPD:Tokyo U . cm w d± d / / . mm/w

Display exampleGA & Author

Measurement valuesGestational Age& Normal Range

Growth Rate

FW:Osaka U g w d + . ' / /BPD: . cm w dFTA: . cm2

w dFL: . cm w d

Display exampleFW & Author name

Measurement values

GA Data (*1)& Normal Range (*2)

Fetus Weight

each GA (*4)

EDC (*3)

Display example

FL / AC . -FL: . cmAC: . cm

Ratio name

Normal RangeRatio

Measurement values(Numerator)Measurement values(Denominator)

MN1-5482 Rev.2 5-3



5-2-1-2. B mode, M mode

5-2-1-3. M mode, D mode


Measurement menu


Amniotic Fluid Index

AFI (*******) (*****): Author name

AFI & Author name AFI Measured at four cross-sections.

Normal Range

Q1 Q2 Q3 Q4

AF Pocket AF pocket Measured at one cross-section.

AFV AFV

Cardio thoracic Area Ratio

CTAR CTAR A B Area ratio

CTR CTR A B Circumferential length (diameter) ratio

Cervix Cervix Cervix For trans-vaginal inspection


Measurement menu


Fetus cardiac function

LV Function LVIDd LVIDs EDV ESV EF Evaluation of ejection fraction and contraction coefficient of fetus heartFS SV RVDd


Measurement menu


Fetus Heart Rate

FHR FHR Fetal heart rate

PreHR(Amnio) PreHR Fetal heart rate before and after amniotic fluid examinationPstHR(Amnio) PstHR

5-4 MN1-5482 Rev.2



5-2-1-4. D mode

5-2-1-5. Displayed on report page only


Measurement menu


Fetal Doppler Umbilical Artery MCA Uterine Artery Descending AortaRenal-Artery OB Dop 1 OB Dop 2 OB Dop 3

PI RI S/D PSV EDV Diagnosis of fetal circulation dynamicsOB Dop1—3 : It is possible to freely define and use a name according to the particular purpose and application.Uterine Artery: Consists of Right/Left.

MnV

PLI PLI A SF Evaluation of the right ventricular failure of the fetus

LVOT Flow pV MnV VTI LVOT CSA Qp/Qs displayed in report.

SV

RVOT Flow pV MnV VTI RVOT CSA

SV

Amniotic Fluid Puncture Amniocentesis CVS Input of comment during amniotic fluid puncture (villus puncture)

BPP Scoring Biophysical Profile Biophysical Profile scoring

Anatomy CL Anatomy Check List Checklist for fetal evaluation

MN1-5482 Rev.2 5-5



5-2-2. List of obstetrical measurement name built into system

5-2-2-1. List of GA measurement name

[Remark]Refer to Section 5-6-4-1. "GA tables (GA Calculation tables)" for the gestational week table of each author.

SpellingEES Early Embryonic SizeGS, mGS Gestational Sac, Mean Gestational SacCRL Crown Rump LengthBPD Biparietal DiameterBPDo Biparietal Diameter (outer - outer)OFD Outer Orbital DiameterOFDo Occipital Frontal Diameter (outer - outer)HC Head CircumferenceTC Thoracic CircumferenceTL Thoracic LengthAPTD(APD) Antero Posterior Trunk DiameterTTD(TAD) Transverse Trunk Diameter (Transverse Abdominal Diameter)AC Abdominal CircumferenceFTA Fetal Trunk cross-sectional AreaAXT APTD × TTDAD Abdominal DiameterHL Humerus LengthFL Femur LengthLV Length of VertebraeTIB Tibia lengthULNA Ulna lengthRAD Radius lengthFIB FibulaBD Binocular DistanceCD Cerebral DiameterLVW Lateral Ventricular WidthHW Hemispheric WidthIOD Inner Orbital DiameterOOD Outer Orbital DiameterNT Nuchal TranslucencyNBL Nasal Bone LengthUser1-10 User setting

5-6 MN1-5482 Rev.2



5-2-2-2. Measured section for each parameter

TTD(TAD)

APTD (APD)

APTD(APD), TTD(TAD)(Anteroposterior Trunk Diameter)(Transverse Trunk Diameter)

umbilical vein

stomachBack bone

Descending aorta

GS (Gestational Sac)

Urinarybladder

Uterus

CRL (Crown Rump Length)

OFD

BPD

OFD (Occipital Frontal Diameter)

OFDo

BPDo

BPDo, OFDo (outer-to-outer)

FL (Femur Length)

BPD (Biparietal Diameter)

HC (Head Circumference)

FTA(Fetal Trunk CrossSectional Area)

umbilical vein

Back bone

Descending aorta

AC(Abdominal Circumference)

umbilical vein

Back bone

Descending aorta

HL (Humerus Length) LV (Length of Vertebrae)

MN1-5482 Rev.2 5-7



LVW (Lateral Ventricular body width),HW (Hemispheric Width)

LVW

HW

TIB (Tibia)

TIB

FIB (Fibula)

FIB

ULNA (Ulna)

Ulna

RAD (Radius)

RAD

BD (Binocular Distance),CD (Cerebellar Diameter)

5-8 MN1-5482 Rev.2



5-2-2-3. List of FW measurement name

[Remark]Refer to Section 5-6-1-1. "Calculation for B-mode", Section 5-6-4-2. "FW Equations (Fetus Weight)", Section 5-6-4-3. "FW Growth tables (Normal Range)" for the formula and table of each author.

5-2-2-4. List of Ratio measurement name

[Remark]Refer to Section 5-6-1-1. "Calculation for B-mode", Section 5-6-4-5. "Fetal Ratio tables by Gestational Age" for theformula and table of each author.

NameMeasurement

parameterFetal weight growth table

name

FW Tokyo U BPD,APTD,TTD,FL Brenner

FW Osaka U BPD,FTA,FL Osaka U

FW Hadlock1 AC,FL Hadlock

FW Hadlock2 AC,HC,FL Shinozuka

FW Hadlock3 BPD,AC,FL Doubilet

FW Hadlock4 HC,AC Yarkoni(twins)

FW Hadlock5 BPD,HC,AC,FL JSUM’03

FW Shinozuka BPD,AC,FL

FW Shepard BPD AC

FW Hansmann BPD,TTD

FW Warsof BPD,AC

FW Campbell AC

FW JSUM’03 BPD,AC,FL

Name Author

BPDo/OFDoHadlo Hadlock (= Cephalic Index)

FL/BPD Hohler Hohler

FL/AC Hadlock Hadlock

HC/AC Campbell Campbell

LVW/HW P&J P&J

FL/AC Hadlock Hadlock

MN1-5482 Rev.2 5-9



5-2-2-5. List of AFI measurement name

[Remark]Refer to Section 5-6-1-1. "Calculation for B-mode", Section 5-6-4-6. "AFI tables by Gestational Age" for the for-mula and table of each author.

5-2-2-6. List of Doppler Range table

[Remark]Refer to Section 5-6-1-1. "Calculation for B-mode", Section 5-6-4-7. "RI ,PI tables by Gestational Age" for the for-mula and table of each author.

5-2-3. Items of Special Note

The Obstetrical measurement enable you to input past data for a fetus graph that enables you to visually monitorchanges in development with time.

In this case, the gestational week at the date of the examination is necessary, therefore enter one of LMP (last men-strual period), BBT (basal body temperature), EDC (expected confinement date), EGA (past gestational week) andGA (current gestational week) on the ID screen.

The measured values of the blood flow values obtained using this equipment are the absolute values displayed onthe observation monitor. They are controlled as positive and negative values for the purpose of calculating the arith-metic index.If the display of each measured value in a report is set to “Average” in a preset, the positive and negative values areadded together and displayed as a mean value. Consequently, when performing multiple measurements of bloodflow on the blood flow waveform drawn using the color Doppler method as a guide, use identical recording condi-tions (forward and reverse flow directions) for all of the blood flow waveforms in order to correctly display each ofthe arithmetic values arranged in the report.

Name Author

AFI Moore Moore

AFI Phelan Phelan

AFI Jeng Jeng

Name Author

RI-MCA Shinozuka RI graph is displayed when MCA is measured.

RI-UmA Shinozuka RI graph is displayed when UmA is measured.

RI-MCA JSUM’03 RI graph is displayed when MCA is measured.

RI-UmA JSUM’03 RI graph is displayed when UmA is measured.

PI-MCA Shinozuka PI graph is displayed when MCA is measured.

PI-UmA Shinozuka PI graph is displayed when UmA is measured.

PI-MCA JSUM’03 PI graph is displayed when MCA is measured.

PI-UmA JSUM’03 PI graph is displayed when UmA is measured.

5-10 MN1-5482 Rev.2



5-3. Measurement operation procedureObstetrical measurement has the following studies.

Basic (for general obstetric measurement)Early (for the early stages of pregnancy)Extended (for high risk pregnancy)BPP/Amnio (for BPP/amniotic fluid puncture scoring)Anatomy (for an anatomical checklist of the fetus)

There are also studies for twins and triplets. The study names are Twin*** and Tri***, respectively.(***:Early, Basic, Extended etc.)

Each measurement name displayed on the measurement menu is determined by the selected study.

<Method of changing a study>

When the Study & Application on the touch panel is selected, study names are displayed, so make a selection.

[Remark]The factory default settings are Basic (for general obstetric measurement) Study, Early (for the early stages of preg-nancy) Study, Twin Basic (for twins) Study and Twin Early (for twins) Study.

<Displaying marks of registered reports>

When the registration of report is made after the measurement of each measurement item, the number of registrationtimes is displayed on the touch panel.

[Remark]The display examples of measurement results in this chapter are displayed with a vertical display layout.

The measurement items are changed.


MN1-5482 Rev.2 5-11



5-3-1. B mode

[Remark]The examples of measurement result display in this chapter are displayed with a vertical display layout.

5-3-1-1. GA (gestational week) measurement

The GA measurement uses the estimated gestational week table to calculate gestational week and expected confine-ment date from the measurement values of the fetus.The names of the parts of the fetus are displayed in the measurement menu.There are three types of Normal Range in the estimated gestational week table, ±day, ± SD and %tile. The type ofresult display for each is different. (Refer to Section 5-6-4-1. "GA tables (GA Calculation tables)" for the names ofthe parts of the fetus displayed in the measurement menu and the estimated gestational week table.)

[Remark]If you selected an SD type or percentile type estimated gestational week table, you cannot display Normal Rangeunless you enter the gestational week (LMP-GA) obtained from LMP, EGA, BBT, GA, and so on. Be sure to enter this data on the ID screen.

<Operation method>

The case of the BPD (Tokyo U) is explained.

(1) Display the BPD (biparietal diameter of the fetus head) image.

(2) Select the BPD(Tokyo U) on the touch panel.→ The + mark is displayed.

(3) Measure the BPD.→ The gestational week and expected confinement date are calculated.


(5) On displaying a graph, select the Graph on the touch panel.

[Remark]When the measurement values are registered in the gestational age report, the US-GA is displayed on the screen.US-GA is the mean value of the gestational week obtained from the GA measurement values registered in the report.It is used to calculate the expected confinement date. The preset function sets whether or not this is displayed.Also, it can be set whether the calculation is selected from the currently selected study (One Study) or from allstudies (All Study). It is set on the All Study on the factory default.If you obtain the mean value only for the currently selected study, set the One Study with a preset.Refer to Section 5-5-2. "PRESET list".

Before starting an examination, always check that the date displayed on the monitor screen is correct. If the data is incorrect, invalid results may be displayed.

Note

5-12 MN1-5482 Rev.2



<Example of BPD rsults display>

[Remark]In the GA measurement, it can be transcribed to the measurement value by selecting on the touch panel or by pressing the Hot key, after executing the basic measurement.

<Example which posts a Dist measurement value to the BPD value>

When the basic measurement is executed, the touch panel is switched to the Transfer Menu.

[Remark]The Transfer Menu is displayed automatically when the Transfer List Display is set in Auto with a preset.Refer to Section 5-5-2. "PRESET list".[Remark]On transcribing with the Hot key, it is possible to transcribe to the GA measurement corresponding to the Hot Key.[Remark]When transferring the basic measurement values obtained using the Ellipse method or the Circle method to the cir-cumferential length and area measurement of AC, HC, and so on, it is recommended that you check whether or notthe calculation formulas used in the basic measurements (See 1-11-1-1., 1-11-1-2., 1-11-1-3., and 1-11-1-4.) and thecalculation formulas for GA measurement used in the literature (Refer to Section 5-6. "Calculation Formula & Ref-erence & Table") are appropriate.[Remark]HC, AC, FTA and AXT directly measure the circumference and area using the Trace method, Ellipse method, andso on. In the case of HC, the circumference and area can be calculated and displayed automatically by BPD and OFD(or BPDo and OFDo), and in the case of AC, FTA and AXT by TTD and APTD (or APD and TAD).Note, however, that when measurement is performed using the Trace method or the Ellipse method, the measure-ment values are registered preferentially.Automatically calculated HC, AC, FTA, and AXT are displayed in the menu as HC(*) and in the report as *HC.The same applies to AD obtained from APTD and TTD.[Remark]A mGS measurement is displayed as the mean value of the GS diameter obtained in a 3-axis measurement.If 3-axis measurement is not performed, the results will not be displayed.

US-GA: w d ’ / /BPD : Tokyo U cm w d ± d ’ / /

US-GA : Mean gestational week US-EDC : Expected confinement date obtained from US-GA Name of the part of the fetus to be measured and author of table Measurement values Estimated gestational week and error (Normal Range) Expected confinement date

In case of a layout for a vertical display

Select the BPD Tokyo U

In case of the touch panel

MN1-5482 Rev.2 5-13



5-3-1-2. Graph function

This function plots the measured values in a graph that indicates the standard range. It is used as a guide to see whether or not the measured value is within the standard range.

This function can be executed during a GA measurement that uses an estimated gestational week table, FW mea-surement in which Range Table is set, Fetus Ratio measurement, AFI measurement and Doppler measurement.

[Remark]A graph is plotted for the gestational age (LMP-GA) found from the LMP, EGA, BBT, etc. Always input these datawhen inputting the ID.[Remark]The measurement values displayed on the graph are the latest values.

<Example of BPD measurement>

[Remark]The fetus growth graph shows deviation data ((day, (SD, etc.) related to the number of weeks in each estimated ges-tational week table. It does not indicate the deviation (cm or mm) of the measurement value, so use it as a roughguide of fetus growth.

<Operation method>

(1) Select the Graph on the touch panel.→ A graph for the current obstetric measurement is displayed.

(2) For displaying a different graph, select the graph menu on the left side.

(3) Move the arrow to Exit, and press the ENTER switch.→ Return from the graph screen to the measurement screen.

[Remark]If data is stored, each time you display a graph the past data will also be plotted.You can display registered patient data from the most recent LMP on graph.[Remark]The function that saves the measurement values in the case where the same patient was examined in the past, and

Menu of Graph

gestational week (LMP-GA) line

Measurement result

5-14 MN1-5482 Rev.2



displays the past measurement values on a graph is called the Growth Analysis function. It enables you to observethe progress of the development with time.

[Remark]Putting the arrow on the plot of today or the past, it is displayed the measurement result corresponding to the plot.

[Remark]Selecting Growth chart, it is displayed a graph with SD on the vertical axis.

Today’s plot

Past plot

MN1-5482 Rev.2 5-15



[Remark]Growth chart is displayed if the obstetrical table of SD type has been assigned to the menu.

5-16 MN1-5482 Rev.2



5-3-1-3. FW (Fetal weight) measurement

The FW measurement is a measurement in which the estimated fetal weight is calculated from the measured valueof several fetuses.

The Author’s name is displayed in the measurement menu.Also, the measurement part and the result display type differ according to the estimation equation that is used.

[Remark]Refer to Section 5-6-4-2. "FW Equations (Fetus Weight)" for the FW name displayed in the measurement menu andthe measurement part.

<Operation method>

The following explanation using FW Tokyo U is provided below as an example.

(1) Display the BPD (biparietal diameter of the fetus head) image.

(2) Select the FW Tokyo U on the touch panel.→ The + mark is displayed, then measure the BPD.

(3) Display a cross-sectional image of the abdominal region, and press the + switch.→ Measure the APTD.

(4) Press the + switch.→ Measure the TTD.

(5) Display an image of the femur, and press the + switch.→ Measure the FL.


(7) In displaying graph, select the Graph on the touch panel.

MN1-5482 Rev.2 5-17



<Example of FW results display>

[Remark](*1)Displayed only when a preset is used to set the FW formula and the FW Growth Table together and also to dis-play the error, gestational week and expected confinement date.These values are estimated from the FW Growth Table, so they are not the same values obtained from the FW for-mula. The factory default settings are OFF.

(*2)Displayed if the gestational week table is assigned by OB-Program of the preset function.If there are a number of gestational week tables for the same part to be measured, the tables created by the sameauthor will take precedence.[Remark]Even if FW measurement is not performed, once GA measurement has been performed a number of times and themeasurement items necessary for a FW measurement are obtained, the fetal weight can be automatically calculated.When performing an automatic calculation, set the FW measurement to be displayed to AUTO using the OB-Pro-gram of the preset function.[Remark]The fetal weight can be displayed in either grams or pounds.1 pound = 453.592 grams[Remark]Setting FW Growth Table of a preset for Doubilet and setting Normal Range of Measurement Method and DisyplayItems (2/4) to ON, you can display the %ile (percentile) of fetus besides the fetal body weight itself.

FW:Tokyo U g w d± d ’ / /BPD : cm w dAPTD: cmTTD : cmFL : cm w d

Author of table Calculated value of fetal weight Gestation week estimated from the FW Growth table, and error(*1) Confinement date estimated from the FW Growth table(*1) Biparietal diameter of the fetus head Gestational week estimated from BPD(*2) Antero Posterior Trunk Diameter Transverse Abdominal Diameter Length of femur Gestational week calculated from FL(*2)

5-18 MN1-5482 Rev.2



5-3-1-4. Fetus Ratio measurement

Fetus Ratio measurement is a type of measurement in which the ratio is calculated from the measurement values fortwo fetuses.

The measurement part and the author’s name are displayed in the measurement menu.Also, the measurement part and the result display type differ according to the estimation equation that is referred to.

[Remark]For details of the Ratio name and measurement part that are displayed in the measurement menu, refer to Section 5-2-2-4. "List of Ratio measurement name".[Remark]On the factory default, Fetus Ratio measurement is not assigned to the menu.It must be set using the Preset function.

<Operation method>

The following explanation using FL/AC Hadlock is provided below as an example.

(1) Display the FL (femur Length) image.

(2) Select the FL/AC Hadlock on the touch panel.→ The + mark is displayed, then measure the FL.

(3) Display the AC (Abdominal Circumference) image, and then press the + switch.→ Measure the AC using the Ellipse method.

[Remark]When the method of using the Ellipse method, refer to Section 1-7-4-2. "Method of performing a measurement usingEllipse".


(5) When displaying a graph, select the Graph on the touch panel.

MN1-5482 Rev.2 5-19



<Example of FL/AC results display>

[Remark]Even if Fetus Ratio measurement is not performed, when a GA measurement has been performed twice and the itemsnecessary for performing ratio measurement are obtained, the ratio can be automatically calculated.when performing automatic calculation, set the Ratio measurement to be displayed to AUTO using OB-Program ofthe preset function.

FL/AC . -FL : cmAC : cm

Ratio name Ratio Normal range Femur length Abdominal Circumference

5-20 MN1-5482 Rev.2



5-3-1-5. Amniotic Fluid Index measurement

This measurement determines the free space in the amniotic fluid pocket (depth) of the uterus, and calculates theamniotic fluid index (AFI: Amniotic Fluid Index).

In the AFI measurement, with dividing gravid uterus into four parts (Q1- Q4) on abdominal wall body surface, thegreatest amniotic fluid depth of each divided part is obtained. These four elements are totaled for calculation.

Move the probe parallel to the plane of the mother's body indicated by the arrow, and apply it perpendicularly to themother’s back.

[Remark]You can display the normal range of AFI.For tables that have the normal range, refer to Section 5-2-2-5. "List of AFI measurement name".[Remark]You can measure the amniotic fluid cavity of each of the four divided parts without fixing the measurementsequence.

<Operation method>

The following explanation using AFI Moore is provided below as an example.

(1) Display the cross-section of the first of the four divided parts of the area to be examined.

(2) Select the AFI Moore on the touch panel.→ The + mark is displayed, then measure the Q1.

(3) Display the second cross-section, and press the + switch.→ Measure the Q2.

(4) Measure Q3 and Q4 using the same procedure.


MN1-5482 Rev.2 5-21



(6) For displaying a graph, select the Graph on the touch panel.

<Example of AFI Moore results display>

AFI:Moore cm . - .Q1 : cmQ2 : cmQ3 : cmQ4 : cm

← The author name of AFI table← The sum total of Q1+Q2+Q3+Q4← Normal range← Measurement value for Q1← Measurement value for Q2← Measurement value for Q3← Measurement value for Q4

5-22 MN1-5482 Rev.2



5-3-1-6. AF Pocket, AFV measurement

The AF Pocket (Amniotic Fluid Pocket) and AFV (Amniotic Fluid Volume) are used to measure the maximum depthof the free space in the amniotic fluid pocket of the uterus.

[Remark]The AF Pocket and AFV measurement areas are identical. In the literature they are treated as two distinct areas be-cause they have different names, so register them in the measurement menu using a preset.[Remark]You can use a preset to select either the Caliper method or the Trace method as the measurement tool.

<Operation method>

Here is an explanation using the AF Pocket as an example.

(1) Display the cross-section showing the amniotic fluid pocket surrounded by the placenta and the fetal part.

(2) Select the AF Pocket on the touch panel.→ The + mark is displayed, so measure the amniotic fluid pocket using the Circle method.

[Remark]For using the Circle method, refer to Section 1-7-4-2. "Method of performing a measurement using Ellipse".


<Example of AF Pocket results display>

AF Pocket cm

← AF Pocket← Measurement value

MN1-5482 Rev.2 5-23



5-3-1-7. CTAR, CTR measurement

The CTAR (Cardio Thoracic Area Ratio) and CTR (Cardio Thoracic Ratio) measurements are used to measure thesize of the part of the heart that is in the thorax in order to estimate whether or not there is any enlargement of theheart of the fetus.

CTAR is the ratio of the fetal thoracic cross-sectional area and fetal heart area.CTR is the ratio of the fetal thoracic circumference and fetal heart circumference

<Operation method>

Here is an explanation using the CTAR as an example.

(1) Using the part that enables the four cavities of the heart to be displayed, display the image that shows the cross-sectional area of the thorax and the cross-sectional area of the heart.

(2) Select the CTAR on the touch panel.→ The + mark is displayed, so measure the cross-sectional area (A) of the heart using the Ellipse method.

[Remark]For using the Ellipse method, refer to Section 1-7-4-2. "Method of performing a measurement using Ellipse".

(3) Press the + switch.→ Measure the cross-sectional area (B) of the thorax using the same method as step (2).


<Example of CTAR results display>

[Remark]CTAR displays a ratio by %.

Spine

B : Fetal thoracic area

A : Fetal heart

CTAR=A / B

Spine

CTR=A / B

B

A

← Cardio Thoracic Area Ratio← Fetal heart area← Fetal thoracic area

CTAR: %A: cm2

B: cm2

5-24 MN1-5482 Rev.2



5-3-1-8. Cervix measurement

The length of the cervix is measured during the middle period of the pregnancy as a method for forecasting earlydelivery.

[Remark]You can use a preset to select either the Caliper method or the Trace method as the measurement tool.The Trace method for the cervix displays the distance moved by the trace line in real time.[Remark]On the factory default, Cervix measurement is not assigned to the menu.It must be set using the Preset function.

<Operation method>

(1) Display the image of the cervix in the B mode.

(2) Select the Cervix on the touch panel.→ The + mark is displayed, therefore measure the length of the cervix.


<Example of Cervix results display>

Cervix

Cervix: cm ← Cervix

MN1-5482 Rev.2 5-25



5-3-2. M mode

5-3-2-1. Fetal Heart Rate measurement

You can measure the heart rate of the fetus from an M mode image of the heart of the fetus.There are three methods of measuring the heart rate of the fetus, FHR, PreHR and PstHR.The method of performing each measurement is identical.

[Remark]PreHR and PstHR are used to monitor the fetus before and after an amniotic fluid puncture.In the report they are registered in page for performing an amniotic fluid puncture.[Remark]You can measure the heart rate in the D mode as well.

<Operation method>

Here is an explanation using the FHR as an example.

(1) Display the fetal heart rate.

(2) Select the FHR on the touch panel.→ The line cursor is displayed, so measure HR.


<Example of FHR results display>

[Remark]On the factory default, the heart rate is measured as the time between two heartbeats.You can set 1 to 9 heartbeats using the preset function.As the setting of a HR measurement of the basic measurement is succeeded to, change Section “1-10-4-1.MeasuredMethod & Display items” of the preset to a new setting.

2 beats

FHR: BPM ← Heart rate

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5-3-2-2. LV Function measurement

This measurement uses the distance measurement in the M mode to evaluate the ejection function of the left ventricleof the fetus.Measure the left ventricle end-diastolic diameter (LVIDd) and the left ventricle end-systolic diameter (LVIDs), ob-tain the capacity of the left ventricle (EDV, ESV) using the Pombo method, then calculate the contraction coefficient(FS), the ejection fraction (EF) and the stroke volume (SV).

[Remark]On the factory default, the LV Function measurement is not assigned to the menu. It must be set using the Presetfunction.[Remark]This measurement can also be performed in the B mode.

<Operation method>

(1) Display the M mode image from the cross-section of the heart of the fetus.

(2) Select the LV Function on the touch panel.→ The + mark is displayed, so measure the end-diastolic left ventricle cavity LVIDd.

(3) Press the + switch.→ Measure the end-systolic left ventricle LVIDs.

(4) Press the + switch.→ Measure the end-diastolic right ventricle RVDd.


<Example of LV Function results display>

Measurement items :LVIDd Left ventricular internal　

diameter (diastole)LVIDs Left ventricular internal

diameter (systole)RVDd Right ventrical diameter

(diastole)

Calculation items :EDV = (LVIDd)3

ESV = (LVIDs)3

EF = (EDV - ESV) / EDV ×100%SV = EDV - ESVFS = {(LVIDd - LVIDs) / LVIDd} ×100%

RVDd

LVIDd LVIDs

LV FunctionLVIDd: . cmLVIDs: . cmRVDd : . cmEDV: mlESV: mlEF: . %FS: . %SV: ml

← Left ventricular internal diameter (diastole)← Left ventricular internal diameter (systole)← Right ventrical diameter (diastole)← Left ventricular end diastolic volume← Left ventricular end systolic volume← Ejection fraction← Fractional shortening← Stroke volume

MN1-5482 Rev.2 5-27



5-3-3. D mode

5-3-3-1. Fetus Doppler PI and RI measurement.

Obstetrical D mode measurements consist of measurement of the umbilical cord arterial blood flow, middle cerebralartery and the left and right uterine artery blood flow (Rt./Lt. UtA), aorta descendens blood flow, and the renal artery.Each waveform is traced, and blood flow measurement data (PI, RI and S/D for each arterial blood flow) is calcu-lated.Six measurement menus are provided: UmA for the umbilical cord, MCA for the middle cerebral artery, Rt, UtA,Lt. UtA for the uterine artery, D-Ao for the aorta descendens and Renal-A for the renal artery.The method of performing each measurement is identical.

[Remark]PI and RI calculations use the systolic maximum blood flow velocity (PSV) and the end-diastolic blood flow veloc-ity (EDV).There are reports to the effect that the diastolic minimum blood flow velocity is sometimes used for these indexes.The end-diastolic blood flow velocity is not necessarily the same as the diastolic minimum blood flow velocity.Consequently, when measuring PI and RI, manually shift the time phase of the EDV to the end-diastolic point andalso to the minimum blood flow velocity point.PI and RI are calculated from the blood flow velocity at these points.

<Operation method>

Here is an explanation using UmA as an example.

(1) Display the blood flow Doppler waveform for the umbilical cord artery.

(2) Select the Umbilical Artery on the touch panel.→ The line cursor (vertical line) is displayed.

(The + mark is displayed in the case of the Manual Trace method.)

(3) Using the Dop Trace method, trace the blood flow Doppler waveform.→ PI, RI, S/D, etc. are calculated, and line cursors accompanied by the letters “S” and “D” are displayed.

[Remark]Adjust the line cursors accompanied by the letters “S” and “D” using the ENTER switch and the trackball.

“S”: Peak Systolic Velocity point “D”: End Diastolic Velocity point[Remark]The method of using Dop Trace method differs depending upon whether Auto Trace or Manual Trace is used.For the operation method, refer to Section 1-7-4-5. "The measurement procedure of the Dop-Trace method".


S

D

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(5) On displaying graph, select the Graph on the touch panel.

<Example of UmA results display>

UmAPI : .RI : .S/D: .PSV: . cm/sEDV: . cm/sMnV: . cm/s

← Umbilical Artery← Pulsatility Index← Resistance Index← Ratio← Peak systolic velocity← End diastolic velocity← Mean velocity

MN1-5482 Rev.2 5-29



5-3-3-2. OB Dop 1(-3) measurement

You can register (or create names for) flow measurements for up three arteries other than those of section:5-3-3-1.Fetus Doppler PI and RI measurement. using the Preset function.The operation procedure for each blood flow measurement created here is the same as that for an Umbilical Arterymeasurement.

<Example of OB Dop1 results display>

OB Dop1PI : .RI : .S/D: .PSV: . cm/sEDV: . cm/sMnV: . cm/s

← OB Doppler 1← Pulsatility Index← Resistance Index← Ratio← Peak systolic velocity← End diastolic velocity← Mean velocity

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5-3-3-3. Preload Index measurement

PLI (Preload index) is a measurement that compares two flow velocity values (A wave and SF wave) for the inferiorvena cava of a fetus.It is used to evaluate right ventricular failure in a fetus.

<Operation method>

(1) Display the blood flow Doppler waveform for the inferior vena cava of a fetus.

(2) Select the PLI on the touch panel.

→ A + line mark is displayed, so move the + line to the position of the A wave.

(3) Press the + switch.→ Move a + line mark to the position of the SF waveform.


<Example of PLI Dop results display>

PLI = | A / SF |

PLI : .A : cm/sSF: cm/s

← Preload Index← A wave flow velocity← SF wave flow velocity

MN1-5482 Rev.2 5-31



5-3-3-4. LVOT Flow, RVOT Flow measurement

Obtain the velocity time integral (VTI) from the left ventricle (right ventricle) out tract flow waveform, and thestroke volume from the left ventricle (right ventricle) out tract diameter (LVOT (RVOT)). Also, the ratio for left andright outflow is displayed in the report as Qp/Qs.Two measurement menus, LVOT Flow and RVOT Flow, are provided.The method of performing each measurement is identical.

[Remark]On the factory default, LVOT Flow and RVOT Flow measurement are not assigned to the menu.It must be set using the Preset function.

<Operation method>

Here is an explanation using LVOT Flow as an example.

(1) Display the left ventricle outflow tract B/D mode image.

(2) Select the LVOT Flow on the touch panel.

→ A + line mark is displayed.

(3) Trace the blood flow velocity in the left ventricle outflow path.→ The velocity-time integration value (VTI) is calculated.

[Remark]The method of using the Dop Trace method differs depending upon whether Auto Trace or Manual Trace is used.For details of the method of use, refer to Section 1-7-4-5. "The measurement procedure of the Dop-Trace method".

(4) Press the + switch.→ The + mark is displayed on the B image. Consequently, when you measure the output path, the outflow

path cross-sectional area (CSA) is measured.

[Remark]The area of the outflow path is calculated on the basis of a circle.


<Example of LVOT Flow results display>

LVOT FlowpV: . cm/sMnV: . cm/sVTI: . cmLVOT: . cmCSA: . cm2

SV: ml

← Peak Velocity← Mean Velocity← Velocity Time Integral← Left Ventricular Out Tract diameter← Cross Sectional Area← Stroke Volume

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5-3-4. Multiple pregnanciesWhen performing an examination on multiplet, you can select the multiplet study.When a study is changed to twins or triplets with a Study Change, the obstetric measurements can be executed foreach fetus. Reports can also be displayed for each fetus.All the measurements except those for the pregnant woman (cervix, UtA) can be used for multi-pregnancy studiesThe operation methods are the same as for a single pregnancy.

To switch from one fetus to the other during a measurement, use the switching menu item in the transfer list or mea-surement menu.The measurement results are displayed with the codes a, b, and c attached to the name for each item in order to dis-tinguish the results for each fetus.

<Operation method>

Here is an explanation using Twin Basic as an example.

(1) After selecting the Study & Application, select the Twin Basic.

(2) The OB switch changes the Fetus a switch.

(3) When you press the Fetus a switch, it is replaced by the Fetus b.

[Remark]When fetus selection key (Fetus a, Fetus b, Fetus c) is assigned to the Hot key, the fetus selection menu is displayedonly by pressing the Hot key, which is convenient.

Subject studies:

For Twin For Triplets Subject of examination

Twin Basic Tri.Basic Normal pregnancy

Twin Early Tri.Early Early pregnancy

Twin Extended Tri Extended High-risk pregnancy

Twin BPP/Amnio Tri.BPP/Amnio BPP scoring, amniotic fluid sampling

Twin Anatomy Tri.Anatomy Anatomical check list for fetal

: Multiplet study display items set at the factory

MN1-5482 Rev.2 5-33



<Operation procedure for multiplet>

This is the same as for the case of a single fetus.

<Example of multiplet results display>

The codes (a, b, c) for differentiating fetuses from each other are displayed alongside each measurement name.

aBPD:Tokyo U . cm w d+ d ` / /

For Fetus a For Fetus bbFW:Tokyo U gBPD: cm w dAPTD: cmTTD: cmFL: cm w d

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5-3-5. Interval Growth Rate

Interval Growth Rate is a function that compares the data for the current examination date with previous data for asingle examination, and calculates the growth rate, that is, the extent to which the fetus has grown, in one week.You can display an Interval Growth Rate table by BPD, AC, AD and FL measurement.

[Remark]In order to display the Interval Growth Rate, set the display using a preset.Also, although there is no restriction for the author name for GA measurement (BPD, AC, AD, FL), it is necessaryto assign an Interval Growth table (Author: Levon N) to each table.Refer to the “GA Table” in Measured Method & Display Items 1/4, the Built in & User-defined Table “IntervalGrowth Rate” and OB Program Section 5-5. "PRESET FUNCTION".[Remark]It is possible to display the normal range of values of each interval growth rate in a report.[Remark]It is necessary to measure the previous measurement value. The measurement value is retrieved from the patient da-ta, so it is necessary to register the patient data in advance using the ID screen.

The method of calculating the Interval Growth Rate is as follows.

Interval Growth Rate = (Current measurement value − Previous measurement value) mm/ (Present GA value − Previous GA value) week

When GA (BPD) is measured on the day of the examination and also on one previous occasion, it is calculated asfollows.

If it is assumed that the previously performed BPD = 50mm (calculated as GA = 21w0d), and the currently performed BPD = 78mm (calculated as GA = 31w0d), the Interval Growth Rate is as follows:Interval Growth Rate = (78-50)mm /(31-21) wks = 2.8mm/wk

<Example of Interval Growth Rate results display>

BPD : Tokyo U cm w d ± d ’ / / . mm/w ← Interval Growth Rate

MN1-5482 Rev.2 5-35

5-4.Report function


5-4. Report functionA report arranges and displays each index value and measurement value for obstetrical measurement and also relatedpatient information.

A report displays only the results of measurement. You can register up to six measurement values in a report.

[Remark]You can set the number of values to be registered using the Report Display of Preset.

You can also plot past measurement values on a growth curve, enabling you to evaluate the growth process of a fetus.

[Remark]Be sure to enter patient data (Patient ID, Name, etc.) on the ID screen.






(1) Press Report on the touch panel.




Return Closes the report.Header Switches the header block (patient data display) between Long Form and Short Form.Prev., Next Advances or returns the page in block units.Study name Switch the study of the displayed report.Graph Displays the transition of the obstetrical measurement values from past to present, in the

form of a graph.US Image Displays an ultrasound image in the report.Output Outputs report data to a personal computer, Media, printer or saver.

Study name

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5-4-2. Report BlockA report block is the unit used to display data (each set of obstetrical measurement data).It arranges pertinent ultrasound information such as Header (patient information) block, Site information (facilitiesinformation) block, and GA, FW & Ratio (gestational week, fetal weight and ratio) block.


It can display the past reports that are on the requested dates.In addition, pressing the History, it can display the list of the past obstetrical measurement records.However, it is not possible to Edit ( revision / deletion) the past measurement records.


(2) Select the exam. date desired to display, and press the ENTER switch.→ The report of the requested exam. date is displayed.

CommentPatient information block from ID screen

Display block for each measurement result

Facilities information (examination, etc.) block input from ID screen

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5-4.Report function


(3) Move the arrow to the History, and press the ENTER switch.→ The list of the past exam. results is displayed.

(4) Press the History again.→ Return to the screen of report.



(1) Move the arrow to <Comments>, and press the ENTER switch.→ A text box for entering a comment is displayed.


(3) Select OK.


Push buttons

Text box Scroll bar

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5-4.Report function





<Operation method>



(2) Delete:Select the measurement value to be deleted, and press Delete.→ The specified measurement value is deleted, so select OK.

(3) Modify:Select the measurement value to be modified, enter the new value from the keyboard, then select OK.

Value used as the reportresult

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5-4.Report function


→ Displaying a modified measurement valueThe mark “#” is attached to the beginning of a measurement item that was modified by entering a nu-merical value.

[Remark]Like PI and RI measurement, there are two items of blood flow velocity data (PSV and EDV) within the period be-tween two heartbeats that are mutually related.Perform an editing operation so as to maintain the mutual time phase relationship.(4) Change to a different measurement value:


[Remark]On setting of “Always display the latest measurement value (last measurement value) on the report screen”, it is pos-sible to set another measurement value. When the setting is made to the average, there is no difference on what mea-surement value is selected since all measurement values are averaged. (Refer to Section 5-5-2. "PRESET list" Report Data)

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5-4.Report function



5-4-3-1. Patient Information

The meaning of Patient Information displayed in an obstetrical measurement report is as follows.

LMP : Date of the last menstruation periodGRAV : Number of gravidaPARA : Number of paraAB : Number of abortions or miscarriagesECTO : Number of ectopic pregnanciesLMP-GA : Gestational week calculated from the date of the last menstruationLMP-EDC : Expected confinement date calculated from the date of the last menstruationComposite US-GA : Mean gestational week calculated from the measured GAComposite US-EDC : Expected confinement date calculated from the measured GA

[Remark]Composite US-GA (EDC) is the mean value of the gestational week obtained from the GA measurement registeredin the report.When the Composite US-GA is demanded, it is possible to set the calculation with whether the currently selectedStudy(One Study) or all studies (All Study) with preset. On the factory default, it is set on the calculation of all stud-ies (All Study).If you obtain the mean value only for the currently selected study, set the number of studies used with preset to one.(Refer to Section 5-5-2. "PRESET list" Study Assignment.)[Remark]If an input other than LMP (BBT, EGA, EDC or GA) is made using the ID screen, the display will switch over.(BBT-GA, BBT-EDC, etc.)[Remark]If you changed the Header to Short Form, only the ID, Name, LMP-GA, EDC, US-GA and EDC are displayed.

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5-4.Report function


5-4-3-2. Report

The blocks that can be displayed in an obstetrical measurement report are as follows.In each study, these blocks are combined with each other and displayed

GA, FW, Ratio Block Other BlockFetal Cardiac Block Fetal Doppler BlockFetal Cardiac Doppler Block BPP BlockAmnio / CVS Block Anatomy Check List Block

[Remark]In the case of multiplet, you can set a block combination for each fetus.

Fig. Display example for of each block:

[Remark]On the factory default, you can only display some of these items.

GA, FW, Ratio Block

Other Block

Fetal Cardiac Block

Fetal Doppler Block

Fetal Cardiac Doppler Block

BPP BlockAmnio / CVS BlockFor BPP scoring and inserting a comment concerning amniotic fluid puncture(Refer to Section 5-4-3-6. "Biophysical ProfileScoring (BPP Scoring) Report")

Anatomy Check List BlockFor inserting anatomical comments concerning afetus(Refer to Section 5-4-3-5. "Anatomy Check ListReport")

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5-4.Report function


1) Basic Report

This is a display example of a basic report. The displayed items differ depending upon the measurement and presetconditions.

[Remark]In the case where the measurement values are outside the normal range, the (normal value range) part is displayedin shaded form.(This applies to GA measurement, FW measurement, Ratio measurement and Doppler measurement that use tablesthat can display the normal range.)[Remark]If a report cannot be displayed in a single page, scroll it using Prev. or Next.[Remark]Putting the arrow on the plot of the past, it is displayed the measurement result corresponding to the plot.

Composite Selection

GA, FW, Ratio Measurement

AFI MeasurementFetal Heart Rate Measurement

Fetal Doppler Measurement

The past test results

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5-4.Report function


2) Composite Selection function

The Composite Selection function is a function that sets whether or not to add GA measurement registered in a reportto the calculation of Composite US-GA in the Header.If alongside the GA measurement value is checked the GA measurement is added to the composite US-GAcalculation.

For a GA measurement value that you do not wish to be added to the calculation, move the arrow to the part,and press the ENTER switch. The check mark is erased, and Composite US-GA is re-calculated.

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5-4.Report function


5-4-3-3. Graph function

You can select one of the following three kinds of a graph function.

(1) Gr-1: Graph that is displayed simultaneously with the results in GA, FW and Ratio Block (A Doppler Graphis displayed in the Fetal Doppler Block.)

(2) GA Dating Graph: A horizontal bar graph that is displayed alongside the GA and FW values

(3) Graph 1 — 6: Between 1 and 6 graphs are displayed over the entire screen.

<Operation method>

(1) Move the arrow to the Graph on the Report, and press the ENTER switch.→ The Graph menu is displayed.

[Remark]You can set the type and number of graphs to be displayed.The measured obstetrical measurement items are in a selected state.(2) Select the graph that you wish to display, and select OK.

→ The graph is displayed as shown in the following drawing.

Gr-1:Graph displayedsimultaneously withthe results

“Graphs number on the Screen”:Selects the number of graphs tobe displayed on one screen.

“Growth Curve” or “Fetal Doppler”:Select the parameters that you wishto display.(The measured parameters are in aselected state.)

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5-4.Report function


(3) To erase the graph and return to the initial status, select the Graph.

[Remark]In addition to plots of the measurement values, each graph contains lines that indicate the LMP-GA (dotted line) andComposite US-GA (solid line).

1) Display example of graph:

<Gr-1>

Displayed when the report is opened.To change the displayed curve, set “Number of graphs on the screen” and “Growth Curve” to “Gr-1”.

[Remark]Gr-1 of Fetal Doppler is displayed in the Fetal Doppler Block.[Remark]If the graph displayed in Gr-1 is FW Table, appears to indicate the FW equation used by the plot on the graph.

<GA Dating Graph>

Displayed at the position of the Gr-1 graph.You can select either ±day or ±SD.

(±day)

(± SD)

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5-4.Report function


<When the number of graphs is set to 1, 2, 4 or 6>

[Remark]You can scroll the page by selecting Prev. or Next.

One screens Two screens

Four screens Six screens

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5-4.Report function


2) Growth Analysis Graph

This function saves the measurement values in the case where the same patient was previously examined, and displays the previous measurement values on a graph. It enables you to observe the growth condition along with thepassage of time.If data has been saved, each time a graph is displayed the past data is also plotted.You can display patient data registered since the most recent LMP, in the graph. This data is used not only in the graph of the report but also in the graph on the measurement screen.

[Remark]Putting the arrow on the plot of today or the past, it is displayed the measurement result corresponding to the plot.

5-4-3-4. Interval Growth Rate

When the Internal Growth Rate is set, it is displayed as shown below.

Today's plot

Past plots

Interval Growth Rate Normal range

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5-4.Report function


5-4-3-5. Anatomy Check List Report

An Anatomy Check List is “an anatomical checklist for a fetus” which is intended to observe the status of the fetus.It is displayed in the Anatomy Check List Block.

The checklist is set out in the form of questions and answers, such as “was the heart visible” or “how many fetusesare there”. You can select items from the internal and the user’s registered checklist, and set them in a preset for eachstudy.

Fig. Report on Anatomy CL Study Display example

[Remark]On the factory default, this study is not displayed. (Refer to Section 5-5-2. "PRESET list" Study Assignment)

<Operation method>

A checklist consists of headings and selections.

Heading Selection

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5-4.Report function


Make a selection from the pull-down menu.

(1) Move the arrow to of the specified selection, and press the ENTER switch.→ A selection list of opinions is displayed.

(2) Using the trackball, select a comment and press the ENTER switch.→ The specified item is transferred to Selection, and the arrow moves to the next selection.

[Remark]To register a number of items, repeat step (2).[Remark]The built-in choices can be registered by the user. Refer to Section 5-5-2. "PRESET list"[Remark]On the factory default, an Anatomical check list is displayed in both Early and Twin Early studies.

5-4-3-6. Biophysical Profile Scoring (BPP Scoring) Report

Based on the data obtained from observation of ultrasound images carried out on a fetus over a relative long periodof time, the examiner makes a selection according to the evaluation criterion. The corresponding score is added, andthe total value is displayed. This report is used mainly for managing high risk pregnancies.

There are two evaluation criteria, that recommended by Vintzileous et al., and that recommended by Manning andet al. One criterion can be set using a preset.

Fig. Display example of BPP/Amnio Study report

[Remark]On the factory default, this study cannot be displayed.(Refer to Section 5-5-2. "PRESET list" Study Assignment) BPP Scoring (Manning et.al)

Display example of BPP/Amnio Study report

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<Operation method>

The checklist consists of evaluation items and result selections.

Specify an evaluation item from the pull-down menu.

(1) Move the arrow to in the specified text box, and press the ENTER switch.→ The selection list is displayed.

(2) Using the trackball, select a name, and press the ENTER switch.→ The specified item is transferred to the text box.

The number in parenthesis is transferred to Total Score.

[Remark]In the BPP of Manning et al., there are two selections, Present (2) and Not Present (0).Also, the Total Score with the exception of the Total Score without NST is displayed.In the BPP of Vintzileous et al., there are three selections, Present (2), Equivocal (1) and Not Present (0).Refer to 5-6-3.BPP Scoring.

5-4-3-7. Amnio/CVS Report

This report displays the examination results of Amniocentesis or Chorionic Villus Sampling.You can enter comments concerning the change in the heart beat of the fetus or the amniotic fluid before and aftersampling.

Fig. Display example of BPP/Amnio Study report

[Remark]On the factory default, this study cannot be displayed.(Refer to Section 5-5-2. "PRESET list") Example of Amniocentesis

Evaluation item Selection

Total value

Display example of BPP/Amnio Study report

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5-4.Report function


[Remark]The results of either one (but not both) of amniocentesis and chorionic villus sampling are displayed in the report.The displayed contents of both are the same.

<Displayed contents>

(1) Puncture SiteSelect one of the following parts as the puncture site, from the pull-down menu.

RUQ : Right Upper QuadrantRLQ : Right Lower QuadrantLUQ : Left Upper QuadrantLLQ : Left Lower Quadrant

(2) # of puncture(number of puncture operations)Enter the number of times that a puncture operation was performed for the selected puncture site in PunctureSite.Specify the number of times from 1 to 10 from the pull-down menu.

(3) Am’t Fluid withdrawn (amount of amniotic fluid sampled)Enter the amount of amniotic fluid obtained by puncturing, from the keyboard.

(4) Color of fluid (nature of the amniotic fluid obtained by puncturing as seen with the naked eye)Specify the nature of the amniotic fluid obtained by puncturing as seen with the naked eye, from the pull-down menu.You can make a selection from Clear, Bloody and Dark. You can also enter a comment from the keyboard.

(5) Fetal Heart RateThe values of the fetal heart rate (PreHR and PstHR measurement) obtained by the M mode or D mode mea-surement before and after the amniocentesis are displayed as data for managing stress that arises when thefetus is punctured.

(6) PlacentaEnter a comment concerning the placenta from the keyboard.

5-52 MN1-5482 Rev.2

5-4.Report function


5-4-3-8. Report of multiplet

If a multiplet study is selected, the report will change over to a multiplet display.In the case of a multiplet study, the displayed report is divided into Fetus a, Fetus b and Fetus c.

For the method of changing over from one fetus to another in a multiplet study, refer to Section 5-3-4. "Multiplepregnancies".

Fig. Twin extended report example

[Remark]In the case of a multiplet study, Composite US-GA (EDC) is calculated for each fetus.[Remark]Only one graph is displayed in the report (1, 2, 4 or 6 screen display), even in the case of multiplet.

Patient Information

Fetus a GA, FW, Ratio block

Fetus b GA, FW, Ratio block

→ Fetus a AFI block

→ Fetus b AFI block

→ Fetus a Fetus Cardiac block

→ Fetus b Fetus Cardiac block

Fetus a Fetus Doppler block

Fetus b Fetus Doppler block

→ Fetus b Fetus Cardiac Doppler block

→ Fetus b Fetus Cardiac Doppler block

MN1-5482 Rev.2 5-53

5-4.Report function


In this case, the respective plots are marked a and b, (c).If you wish to display a graph for each fetus, press the Fetus a, b, (c) button.The graph display will switch through Fetus a → Fetus b → (Fetus c) → Fetus a, b, (c).

[Remark]You can display plots of past studies, even for a multiplet graph

Twin extended report example BPP/Amnio Report

Twin extended report example Anatomy Check List Report

Fetus display changeover button

5-54 MN1-5482 Rev.2

5-4.Report function



This function automatically displays the current ultrasound image acquired by the examiner in the US Image blockof the report.Also, by using the Review function at the bottom of the Report screen, it is possible to display all of the images storedin the connected medium (f.e. HDD and external media such as USB memory) as thumbnail images. You can alsoselect one of these images, and display it in the report.

When you select US Image on the report screen, the US Image block (ultrasound image page) is displayed.

To return to a normal report, select US Image once again.





MN1-5482 Rev.2 5-55

5-4.Report function





[Remark]The number of displayed images and the display format can be set only by the Preset function.The factory default settings are Display Pasted US Image Form on the Screen: 2 × 2, and Number of US Images tobe Automatically Displayed: 4.




Select “Review” to change the imagedisplayed on the report.

5-56 MN1-5482 Rev.2

5-4.Report function




<Operation method>

(1) Select Review at bottom right of the US Image block screen.→ All of the images of the patient concerned that are stored in the connected medium (f.e. HDD and exter-

nal media such as USB memory) are displayed as thumbnail images.





[Remark]Regarding the “Change View” functionBy selecting Change View at the bottom of the thumbnail display, you can also display past images for the samepatient as a thumbnail display.[Remark]Each time you select Change View, the display conditions switch over between “current image only” and “currentand past images”. The particular set of conditions displayed is indicated at top right of the thumbnail screen.





1 2 3

4 5 6

7 8 9


The displayed screenshows images acquireddu r in g the cur ren texamination.

MN1-5482 Rev.2 5-57

5-4.Report function










Printing starts. This function is ended withoutprinting taking place.

5-58 MN1-5482 Rev.2

5-4.Report function












MN1-5482 Rev.2 5-59

5-4.Report function





(1) Select Output.→ The Select Device dialog box is displayed.





5-60 MN1-5482 Rev.2

5-4.Report function










MN1-5482 Rev.2 5-61

5-5.Preset function


5-5. Preset function

5-5-1. Preset Settings

The obstetrical measurement preset consists broadly of the following three functions.




The preset functions related to obstetrical measurements and their configuration are shown below.

OB PresetCreate Measurement tools Setting of the items that are common to OB measurement and Basic measurements

(hereafter called items).Basic Measurement Refer to Section 1-10. "PRESET FUNCTION"Application Measurement Settings concerning OB measurement to be used, Mark Style and result display.

Measurement Method & Display Items Selection and setting of each OB measurement method, Mark Style and result display items.

B.Mode B mode measurement settings.M.Mode M mode measurement settings.D.Mode D mode measurement settings.F.Mode Flow mode measurement settings.

Caliper Mark Control Setting of the measurement mark size and dot line. Substituted by Basic measurement preset.

Unit Selection Setting of the display unit for performing OB measurement. Substituted by Basic measurement preset.



Anatomy Check List Setting of the Anatomy Check List.Display Form Setting of OB measurement result display style.

Mark Display Setting for displaying a caliper mark.Built-in & User-Defined Table Built-in obstetric table and equation list and user definition.

GA Table Built-in gestational age in weeks table list and user definition.FW Equation Built-in fetal weight equation list and user definition.FW Growth Built-in fetal weight growth graph table list and user definition.Fetus Ratio Built-in fetus ratio measurement list.AFI Table Built-in AFI measurement standard value table list.Doppler Table Built-in obstetric Doppler measurement standard value table list.Interval Growth Rate Built-in Interval Growth Rate table list.User's Name New measurement area name registration.

User’s Calculation Function is for making the registration of calculation formulas voluntarily by user.Reserved Word Function is for making the registration name(Reserved Word) voluntarily by user.

5-62 MN1-5482 Rev.2

5-5.Preset function


Study Assignment Setting of measurement menu registration, report display configuration, and transfer list for each Ultrasound Examination Study.

Defined study name Basic, Early, Twin Basic, Twin Early.OB Program Selection of a measurement registered in the menu and a measurement registered on

the report.GA FW Ratio Registers gestational age in weeks tables, fetal weight measurements, and ratio

equations.Other Registers amniotic fluid index, fetal cardiac function, and Doppler measurement

report display.Anatomy Check List Assign Setting of the check list to be displayed on the report.Graph Number Displays and registers fetal graphs displayed in reports.

Menu Assignment Function that enables a measurement menu to be created and edited from the contents set by OB-Program.

Combined Report Display Function that enables the configuration of a report to be edited.Other Function that enables a selection of whether or not to display a measurement

operation guide message.

SW Assignment Setting of registration of the direct execution switches.+ Mark Key Assignment Function that assigns the basic measurements to be executed when the + switch is

pressed.Hot Key Assignment Function that assigns the measurement function that operates when a specific alphabet

key is pressed.Measure SW Assignment Function that assigns the measurement function that operates when the User switch is

pressed.Control Menu Assignment Assigning the control menu on the touch panel.

OB Preset

MN1-5482 Rev.2 5-63

5-5.Preset function


5-5-2. PRESET list

• OB PresetReturns the registered contents to their default settings.


Refer to Section 1.

• Measured Method & Display Items1/4B mode measurement settings 1

• Measured Method & Display Items 2/4B mode measurement settings 2



5-64 MN1-5482 Rev.2

5-5.Preset function


• Measured Method & Display Items1/4D mode measurement settings 1

• Measured Method & Display Items1/1M mode measurement settings



• Unit SelectionFetal weight unit switching (gram→ Pound)


MN1-5482 Rev.2 5-65

5-5.Preset function


OFF : Results and marks not erasedON : Results and marks all erasedAll Mark Erase : Only marks erasedRemain Active Mark : Erases all marks other than for

measurement during starting

• Caliper Auto Off setting

• Report Data (1/2)

Selects either average values or the latest values and sets thenumber of data items registered.Measurement data reuse ON/OFFBPP score type selectionPasting of ImageON/OFF of past result display

• Report Data (2/2)

Setting of Calculation with whether the currently selected Study(One Study) or all studies (All Study)Auto display of Transfer List Display

5-66 MN1-5482 Rev.2

5-5.Preset function


• Anatomy Check ListBuilt-in checklist items, list of choices, and user registration

You can change (user selection) the built-in choices.

• Built-in The built-in choices can be registered by the user. • User registration screen

• Display FormSelects vertical or horizontal display and switcheswhether or not measurement item multiple displaysdisplay the measurements only during starting.Changing whether a simultaneous display with theBasic measurement or not.

• Mark DisplaySetting for displaying caliper mark and measurement results

MN1-5482 Rev.2 5-67

5-5.Preset function


• Built-in & User-defined GA TableLists the built-in fetal weight equations andthose defined by the user.

• User registration screen

• Built-in & User-defined FW EquationLists the built-in fetal weight equations and thosedefined by the user.


• Built-in & User-defined FW GrowthLists the built-in fetal weight growth graph tablesand those defined by the user


5-68 MN1-5482 Rev.2

5-5.Preset function


• Built-in & User-defined Fetus RatioLists the built-in fetus ratio measurementsand those defined by the user


• Built-in & User-defined AFI TableBuilt-in AFI measurement standard value table listand user registration and those defined by the user


• Built-in & User-defined Doppler TableLists the built-in obstetric Doppler measurementstandard value tables and those defined by the user


MN1-5482 Rev.2 5-69

5-5.Preset function


• Interval Growth RateInterval Growth Rate built-in table

• Built-in & User-defined User’s NameRegistration of new measurement area name

• User’s CalculationRegisters Obstetrical measurement equation.

• Reserved WordRegisters user’s Reserved Word.

• Study AssignmentSwitches the display on/off for built-in studies andregisters new studies.

• Study AssignmentRegisters to the Menu Assign obstetric measurement menu → Set the OB-Program before using Menu Assign.

5-70 MN1-5482 Rev.2

5-5.Preset function


• Study AssignmentOB Program GA TableRegisters gestational age in weeks tables and fetalweight measurement and ratio equations.

Registered tables and equations are displayed onthe Menu Assign screen.It is also possible to set whether or not reports aredisplayed and whether or not average number ofweek values (US-GA) are displayed on the screen.

• Study AssignmentOB Program OtherSets the amniotic fluid index, fetal cardiac function,and Doppler measurements

Sets whether or not to display in reports combina-tions of measurement blocks displayed in reportsand selects the standard value table for Dopplermeasurement values.

• Study AssignmentOB Program Anatomy Check List AssignSelects the checklist items.

• Study AssignmentOB-Program Graph NumberSelects the number of graphs displayed in reports.

MN1-5482 Rev.2 5-71

5-5.Preset function


• Study AssignmentCombined Report DisplayCombination of measurement blocks to be displays in the report


• SW Assignment+ Mark Key AssignmentRegisters the measurement started with the + mark.

• SW AssignmentHot key AssignmentRegisters measurements to the Keyboard.

• SW AssignmentMeasure SW AssignmentUser1, User2, Clear and Report switch Assignment

• SW AssignmentControl Menu AssignmentUser1, User2, Clear and Report switch Assignment

5-72 MN1-5482 Rev.2

5-6.Calculation Formula & Reference & Table


5-6. Calculation Formula & Reference & Table

5-6-1. Calculation


Measurement name Item Calculation Remark

RatioCI Cephalic Index = BPDo ÷ OFDo

(14 ≤ LMP − GA ≤ 40wks)HC/AC Ratio of HC to AC

(13 ≤ LMP − GA ≤ 42wks)FL/BPD Ratio of FL to BPD

(23 ≤ LMP − GA ≤ 40wks)FL/HC Ratio of FL to HC

(15 ≤ LMP − GA ≤ 42wks)FL/AC Ratio of FL to AC

(21 ≤ LMP − GA ≤ 42wks)LVW/HW Ratio of LVW to HW

(15 ≤ LMP − GA ≤ 38wks)

Gestational week (ID Screen)LMP − GA (Gestational Age by Last Menstrual Period)

GA = (Exam date − LMP) ÷ 7 It calculates from the date of LMP.

BBT − GA (Gestational Age by BBT)GA = (Exam date − BBT + 14) ÷ 7 It calculates from the date of BBT.

EGA − GA (Gestational Age by EGA) It calculates from the date of EGA.GA = (Exam date − EGA) ÷ 7 + EGA − MA***

LMP − EDC (Estimated Date of Confinement)EDC = 280 + LMP It calculates from the date of LMP.

BBT − EDC (Estimated Date of Confinement)EDC = (280 − 14) + BBT It calculates from the date of BBT.

EGA − EDC (Estimated Date of Confinement)EDC = EGA date + (280 − EGA − MA***) It calculates from the date of EGA.

EGA − MA***: Mean equivalent gestational week for a past examination date and timeUS − GA(Composite GA by Ultrasound) GA measurement mean gestational

weekUS Composite GA = (USGA1+USGA2+...+USGAn) ÷

nUSGA1,USGA2,...,USGAn

MN1-5482 Rev.2 5-73



US − EDC(Estimated Date of Confinement by Ultrasoundall GA parameters)US Composite EDC = Exam date + (280 − US − GA)

GA Gestational Age Type in on ID screenGA − EDC EDC= Exam.data + (280 − GA)


5-74 MN1-5482 Rev.2



Gestational week • Estimated Date of ConfinementGA estimated Gestational Age by US measurementCalculated from the estimated gestational week table.

Fetal WeightTokyo U FW(g) = FW (BPD,APTD,TTD,FL) BPD,APTD,TTD,FL:cm

= 1.07 (BPD)3 + 3.42(APTD)(TTD)(FL)

Osaka U FW(g) = FW (BPD,FTA,FL) BPD,FL:cm FTA:cm2

= 1.25647(BPD)3 + 3.50665(FTA)(FL) + 6.3

Hadlock1 FW(g) = FW (AC,FL)= log10(FW) AC,FL:cm log10(FW)= 1.304 + 0.05281(AC) + 0.1938(FL) − 0.004(AC)(FL)

Hadlock2 FW(g) = FW (AC,HC,FL) AC,HC,FL:cmlog10(FW) = 1.326 − 0.00326(AC)(FL) + 0.0107(HC) + 0.0438(AC) + 0.158(FL)

Hadlock3 FW(g) = FW (BPD,AC,FL) BPD,AC,FL:cm log10(FW) = 1.335 − 0.0034(AC)(FL) + 0.0316(BPD) + 0.0457(AC) + 0.1623(FL)

Hadlock4 FW(g) = FW (HC,AC) HC,AC:cm

log10(FW) = 1.182 + 0.0273(HC) + 0.07057(AC) − 0.00063(AC)2 − 0.0002184(HC)(AC)

Hadlock5 FW(g) = FW (BPD,HC,AC,FL) BPD,HC,AC,FL:cmlog10(FW) = 1.3596 − 0.00386(AC)(FL) + 0.0064(HC) + 0.00061(BPD)(AC) + 0.0424(AC) + 0.174(FL)

Shepard FW(g) = FW (BPD,AC) BPD,AC:cmlog10(FW) = (3 − 1.7492) + 0.166(BPD) + 0.046(AC) − 2.646(AC)(BPD) ÷ 1000

Shinozuka FW(g) = FW (BPD,AC,FL) BPD,AC,FL:cm

= 1.07 (BPD)3 + 0.3(AC)2(FL)

Hansmann FW(kg) = FW (BPD,TTD) BPD,TTD:mm

= − 0.105775(BPD) + 0.000930707(BPD)2 + 0.0649145(TTD)

− 0.000205620(TTD)2 + 0.515263


MN1-5482 Rev.2 5-75



Warsof FW(kg) = FW (BPD,AC) BPD,AC:cm

log10(FW) = −1.599 + 0.144(BPD) + 0.032(AC) − 0.111(BPD)2(AC) ÷ 1000

Campbell FW(g) = FW (AC) AC:mm

loge(FW) = −4.564 + 0.0282(AC) − 0.0000331(AC)2 + loge1000


5-76 MN1-5482 Rev.2



5-6-1-2. Calculation for M-mode

Amniotic Fluid Index

AFI Amniotic Fluid Index= Q1 + Q2 + Q 3+ Q4

Cardio Thoracic Ratio

CTR Cardio Thoracic Ratio =A/B

A: Cardiac cross-section circumferential length (diameter)B: Thorax cross-section circumferential length (diameter)

CTAR Cardio Thoracic Area Ratio =A/BA: Cardiac cross-sectional area B: Thorax cross-sectional area

Interval Growth RateInterval Growth Rate

= (Current Study data− Previous Study data)mm/(Current GA data − Previous GA data)weekBPD,AD,AC,FL Reference: Levon N

Measurement name

Item Calculation Remark

Heart RateFHR HR= # × 60 ÷ (Time for # cardiac cycle)P reFHR HR= # × 60 ÷ (Time for # cardiac cycle)PostFHR HR= # × 60 ÷ (Time for # cardiac cycle) Time for # cardiac cycle

LV FunctionEDV EDV= (LVIDd)3 Pombo

ESV ESV= (LVIDs)3 Pombo

SV SV= EDV − ESVEF EF= (SV ÷ EDV) × 100 (%)FS FS= {(LVIDd − LVIDs) ÷ LVIDd} × 100 (%)


MN1-5482 Rev.2 5-77



5-6-1-3. Calculation for D-mode

5-6-1-4. Compound measurement items

Measurement name


Index PI PI=(PSV − EDV) ÷ MeanV PSV, EDV, MeanVRI RI=(PSV − EDV) ÷ PSV PSV, EDVS/D Systolic Velocity ÷ Diastolic Velocity PSV, EDVPLI |A| / |SF| |A|,|SF|

A/B, (A − B) ÷ A (A>B) A, B

LVOT Flow CSA CSA= π /4 × (CSD)2

SV SV= CSALVOT × VTI

RVOT Flow CSA CSA= π /4 × (CSD)2

SV SV= CSARVOT × VTIQp/Qs = SVRVOT ÷ SVLVOT

Measurement name


HC HC = π √{(BPD2+OFD2)/2} BPD, OFD (BPDo,OFDo)

HC2 HC2 =2.325 × √ (BPD)2+(OFD)2 BPD, OFD (BPDo,OFDo)

AC AC = π √{(APTD2+TTD2)/2} APTD, TTD (APD,TAD)

FTA FTA = π (APTD × TTD) /4 APTD, TTD( APD,TAD)AD AD =(APTD+TTD)/2 APTD, TTD ( APD,TAD)

5-78 MN1-5482 Rev.2



5-6-2. Anatomy Check List

The Anatomy Check list built in equipment(Pregnant Woman):

Heading SelectionFetal Number Single, Twin, Triplet, Multiple, See Comment, NACervix WNL, Poorly Seen, Not Seen, See Comment, NAUterus Anteverted, Retroverted, Anteflexed, Retroflexed, Absent,

See Comment, NAEndometrium Prominent, Normal, Fluid, Polyp, See Comment, NAMyometrium Unremarkable, Heterogeneous, See Comment, NARight Ovary WNL, Enlarged, Not Seen, Absent, See Comment, NALeft Ovary WNL, Enlarged, Not Seen, Absent, See Comment, NARight Fallopian Tube Hydrosalpinx, Pyosalpinx, Not Seen, See Comment, NALeft Fallopian Tube Hydrosalpinx, Pyosalpinx, Not Seen, See Comment, NARight Adnexa WNL, Absent, Free Fluid, See Comment, NALeft Adnexa WNL, Absent, Free Fluid, See Comment, NA

(Fetus):Heading SelectionFetal Presentation Vertex, Breech, Transverse, Oblique, See Comment, NAPlacental Position Anterior, Posterior, Fundal, R-Lateral, L-Lateral, See Comment, NAPlacental Location Fundal, Mid, Low, Partial Previa, Complete Previa, See Comment,

NAPlacental Grade 0, 1, 2, 3, See Comment, NAAFV Normal, Increased, Decreased, See Comment, NAHead WNL, Poorly Seen, Not Seen, Abnormal, See Comment, NACerebral Ventricles WNL, Poorly Seen, Not Seen, Abnormal, See Comment, NACisterna Magna WNL, Poorly Seen, Not Seen, Abnormal, See Comment, NACerebellum WNL, Poorly Seen, Not Seen, Abnormal, See Comment, NAChoroid Plexus WNL, Poorly Seen, Not Seen, Abnormal, See Comment, NAPosterior Fossa WNL, Poorly Seen, Not Seen, Abnormal, See Comment, NALat Vent WNL, Poorly Seen, Not Seen, Abnormal, See Comment, NAMidline falx WNL, Poorly Seen, Not Seen, Abnormal, See Comment, NACavum S.P. WNL, Poorly Seen, Not Seen, Abnormal, See Comment, NANeck WNL, Poorly Seen, Not Seen, Abnormal, See Comment, NANuchal Fold WNL, Poorly Seen, Not Seen, Abnormal, See Comment, NAFace WNL, Poorly Seen, Not Seen, Abnormal, See Comment, NAOrbits WNL, Poorly Seen, Not Seen, Abnormal, See Comment, NACardiac Activity Regular, Irregular, Absent, See Comment,, NAHeart 4 Chamber View WNL, Poorly Seen, Not Seen, Abnormal, See Comment, NAOutflow Tract WNL, Poorly Seen, Not Seen, Abnormal, See Comment, NARVOT WNL, Poorly Seen, Not Seen, Abnormal, See Comment, NALVOT WNL, Poorly Seen, Not Seen, Abnormal, See Comment, NALungs WNL, Poorly Seen, Not Seen, Abnormal, See Comment, NAAbdominal Wall WNL, Poorly Seen, Not Seen, Abnormal, See Comment, NADiaphragm WNL, Poorly Seen, Not Seen, Abnormal, See Comment, NA

MN1-5482 Rev.2 5-79



[Remark]NA : Not Available = Blank

Liver WNL, Poorly Seen, Not Seen, Abnormal, See Comment, NAStomach WNL, Poorly Seen, Not Seen, Abnormal, See Comment, NACord Vessels 3, 2, See CommentCord Insertion WNL, Poorly Seen, Not Seen, Abnormal, See Comment, NARight Kidney WNL, Poorly Seen, Not Seen, Abnormal, See Comment, NALeft Kidney WNL, Poorly Seen, Not Seen, Abnormal, See Comment, NARenals WNL, Poorly Seen, Not Seen, Abnormal, See Comment, NAUrinary Bladder WNL, Poorly Seen, Not Seen, Abnormal, See Comment, NASpine WNL, Poorly Seen, Not Seen, Abnormal, See Comment, NASpine - Lumbar WNL, Poorly Seen, Not Seen, Abnormal, See Comment, NASpine - Cervical WNL, Poorly Seen, Not Seen, Abnormal, See Comment, NASpine - Thoracic WNL, Poorly Seen, Not Seen, Abnormal, See Comment, NASpine - Sacral WNL, Poorly Seen, Not Seen, Abnormal, See Comment, NARight Arm WNL, Poorly Seen, Not Seen, Abnormal, See Comment, NALeft Arm WNL, Poorly Seen, Not Seen, Abnormal, See Comment, NARight Leg WNL, Poorly Seen, Not Seen, Abnormal, See Comment, NALeft Leg WNL, Poorly Seen, Not Seen, Abnormal, See Comment, NARight Hand WNL, Poorly Seen, Not Seen, Abnormal, See Comment, NALeft Hand WNL, Poorly Seen, Not Seen, Abnormal, See Comment, NARight Foot WNL, Poorly Seen, Not Seen, Abnormal, See Comment, NALeft Foot WNL, Poorly Seen, Not Seen, Abnormal, See Comment, NAUpper Extremities WNL, Poorly Seen, Not Seen, Abnormal, See Comment, NALower Extremities WNL, Poorly Seen, Not Seen, Abnormal, See Comment, NALimbs WNL, Poorly Seen, Not Seen, Abnormal, See Comment, NADigits WNL, Poorly Seen, Not Seen, Abnormal, See Comment, NAGender Not Seen, Male, Female, See Comment, NA

5-80 MN1-5482 Rev.2



5-6-3. BPP Scoring

1) Criteria for Scoring Biophysical Variables According to Vintzelios

Parameter Present Score of 2 Equivocal Score of 1 Not Present Score of 0

Nonstress test 5 or more FHR accelerations of at least 15 bpm in amplitude and at least 15-seconds duration associated with fetal movement in a 20-minute period.(NST 2)

2 or 4 accelerations of at least 15 bpm and at least 15-seconds duration associated with fetal movements in a 20-minute period.(NST 1)

1 or 0 acceleration in a 20-minute period.(NST 0)

Fetal movement At least 3 gross (trunk and limbs) episodes of fetal movements within 30 minutes.Simultaneous limb and trunk movements are counted as a single movement.(FM 2)

1 or 2 fetal movements within 30 minutes.(FM1)

Absence of fetal movements within 30 minutes.(FM 0)

Fetal breathing movement

At least 1 episode of fetal breathing of at least 60-seconds duration within a 30-minute observation period.(FBM 2)

At least 1 episode of fetal breathing lasting 30 to 60 seconds within 30 minutes.(FBM 1)

Absence of fetal breathing, or breathing lasting less than 30 seconds within 30 minutes.(FBM 0)

Fetal tone At least 1 episode of extension of extremities with return to position of flexion and also 1 episode of extension of spine with return to position of flexion.(FT 2)

At least 1 episode of extension of extremities with return to position of flexion or 1 episode of extension of spine with return to point of flexion.(FT 1)

Extremities in extension. Fetal movements not followed by return to flexion. Open hand.(FT 0)

Amniotic fluid volume Fluid evident throughout the uterine cavity. A pocket that measures 2 cm or more in vertical diameter.(AF 2)

A pocket that measures less than 2cm but more than 1cm vertical diameter.(AF 1)

Crowding of fetal small parts. Largest pocket less than 1cm in vertical diameter.(AF 0)

Placental grading Placental grade 0,1, or 2.(PL2)

Placenta posterior; difficult to evaluate.(PL 1)

Placental grade 3.(PL 0)

MN1-5482 Rev.2 5-81



2) Biophysical profile scoring According to Manning and Coworkers

TOTAL POSSIBLE SCORE 10

Parameter Present Score of 2 Not Present Score of 0

Breathing 30 seconds or more of breathing noted in 30-minute period.

Less than 30-second period or no breathing in 30 minutes.

Movement 3 or more gross body/limb movements in 30-minute period.

Less than 3 gross body/limb movements in 30 minutes.

Tone At least 1 episode of flexion or extension with return to normal position in a 30-minute period.

Failure to observe any flexion or extension in a 30-minute period.

Fluid One pocket of a amniotic fluid measuring 2cm in both vertical and horizontal planes.

Faiure to identify fluid pocket measuring 2cm in any plane.

Nonstress test Negative or reactive test. Less than 2 accelerations of at least 15 bpm.

5-82 MN1-5482 Rev.2



5-6-4. References

5-6-4-1. GA tables (GA Calculation tables)wks: week (**.*wks = **w*d)

Author Range Data form ReferenceTokyo U GS

CRLBPDFLLVAxT

4-12wks8-15wks12-40wks20-40wks21-40wks16-41wks

Week ±day Tokyo University Takashi Okai, et al.JAPAN SOCIETY OF OBSTETRICS AND GYNECOLOGYVolume38,No.8

Osaka U CRLBPDFTAFLHL

7-13wks10-40wks14-40wks13-40wks13-40wks

Week ±SD Mineo AokiPerinatal Care Vol.9 No.5, (407-422)

Hadlock BPD 12.1-42.0wks Measurement ±day

Fetal Biparietal Diameter : A Critical Re-evaluation of the Relation to Menstrual Age by means of Real-time Ultrasound.Hadlock FP, Deter RL, Harrist RB, Park SK :Journal of Ultrasound in Medicine 1:97, 97-104

HC 13.3-41.4wks Measurement ±day

Fetal Head Circumference : Relation to Menstrual AgeHadlock FP, Deter RL, Harrist RB, Park SKAJR 138:649-653, April 1982

AC 15.4-40.6wks Measurement ±day

Fetal Abdominal Circumference as a Predictor of Menstrual AgeHadlock FP, Deter RL, Harrist RB, Park SKAJR 139:367-370, August 1982

FL 12.6-40.3wks Measurement ±day

Fetal Femur Length as a Predictor of Menstrual Age : Sonographically MeasuredHadlock FP, Deter RL, Harrist RB, Park SKAJR 138:875-878, May 1982

CRL 5.5-18.0wks Measurement ±day

Fetal Crown-Rump Length: Reevaluation of Relation to Menstrual Age(5-18 weeks) with High-Resolution Real-Time USHadlock FP, Shah YP, Kanon DJ, Lindsey JVRadiology, 182: 501-505. <Table 3>

Hadlock 90% HCACFL

14.0-40.0wks 10-50-90%tile (Estimating fetal age ; Computer-assisted analysis of multiple fetal growth parameters)Radiology 1984 ; 152 : 497-501Table Data : 90 percentile data form {Growth format}

MN1-5482 Rev.2 5-83



Hadlock 84 BPDHCACFL

12.1-42.0wks12.0-42.0wks12.0-42.0wks12.1-42.0wks

Measurement ±day

Estimating Fetal Age: Computer Assisted Analysis of Multiple Fetal Growth ParametersHadlock FP, Deter RL, Harrist RB, Park SKRadiology 152:497-501, 1984. <Table 1, 2>

Jeanty HLFLTIBULNABD

12.4-40wks12.4-40.0wks13.3-39.5wks13.1-40.2wks10.3-40.1wks

Measurement ±day

Estimation of Gestational Age from Measurements of Fetal Long Bones Jeanty P, Rodesch F, Delbeke D, Dumont JEJournal of Ultrasound in Medicine 3:75-79, February 1984

Jeanty 95% HLFLTIBULNARAD

11.0-40.0wks11.0-40.0wks11.0-40.0wks11.0-40.0wks11.0-40.0wks

5-50-95% tile (Fetal limb biometry)Radiology 1983 ; 147 : 602Table Data : 95 percentile data form {Growth format}

Campbell BPDHCACFL

13.0-40.0wks14.0-40.0wks14.0-40.0wks15.0-40.0wks

Week±day Materials provided: Professor Campbell's Group at Harris Birthright Centre, King's College Hospital

Merz BPDOFDHC2TTDAPTDACFLTIBFIBHLRADULNA

13.0-41.0wks13.0-41.0wks13.0-41.0wks13.0-41.0wks13.0-41.0wks13.0-41.0wks13.0-41.0wks13.0-41.0wks13.0-41.0wks13.0-41.0wks13.0-41.0wks13.0-41.0wks

5-50-95% tile Das normale fetale Wachstumsprofilein einheitliches Modell zur Berechnung von Normkurven für die gägigen Kopf-und Abdomeparameter sowie die großen Extremi täenknochen.Ultraschall in Med. 17(1996),153-162Table Data : 95 percentile data form {Growth format}

HC2=2.325 × √ (BPD)2+(OFD)2

Shinozuka BPDA × TACFL

10.1-38.3wks16.1-39.2wks15.3-41.2wks16.1-39.3wks

Measurement ±day

Norio Shinozuka, et al.

Jpn. J. Med. Ultrasonics Vol. 23 No. 2 (1996). <Table 2,3,4,5>

Author Range Data form Reference

5-84 MN1-5482 Rev.2



Hansmann CRLBPDOFDHC2TTDACHLFL

7.0-23.0wks12.0-42.0wks14.0-40.0wks14.0-40.0wks12.0-42.0wks12.0-40.0wks13.0-39.0wks13.0-40.0wks

week±day Ultrashalldiagnostick in Geburtshilfe und Gynakologie

Hansmann M., Hackeloer B.J. and Staudach ASpringer-Verlag, Berlin, Heidelberg, New York, Tokyo 1985[English version]Ultrasound Diagnosis in Obstetrics and GynecologyHansmann M., Hackeloer B.J. and Staudach ASpringer-Verlag, Berlin, Heidelberg, New York, Tokyo 1985

HC2=2.325 × √ (BPD)2+(OFD)2

Rempen mGSCRLBPD

4.6-14.1wks6.0-13.5wks6.6-13.5wks

Measurement ±day

Biometrie in der Fruhgraviditat (1.Trmenon)Der Frauenarzt, 32, 4/1991

Chitkara U et al

TCTL

16.0-40.0wks16.0-40.0wks

10-50-90%tile Prenatal sonographic assessment of the fetal thorax: Normal values

Usha Chitkara, M.D., Joanne Rosenberg, R.D.M.S., Frank A. Chervenak, M.D., Gertrud S. Berkowitz, Ph.D., Rebecca Levine, M.A., Richard M. Fagerstrom, Ph.D., Barbara Walker, R.D.M.S., and Richard L. Berkowitz, M.D.American Journal of Obstetrics and Gynecology, Volume 156, Number 5, May 1987, pp.1069-1987. <Table 2>

Kurtz BPD 12.0-41.6wks Measurement ±day

Analysis of Biparietal Diameter as an Accurate Indicator of Gestational Age

Kurtz AB, Wapner RJ, Kurtz RJ, Dershaw DD, Rubin CS, Beuglet CC Journal of Clinical Ultrasound 8:319-326, August 1980

Sabbagha BPD 16.0-37.2wks Measurement ±day

Sonar Biparietal Diameter : I. Analysis of Percentile Growth Differences in Two Normal Populations Using Same Methodology

Sabbagha RE, Barton FB, Barton BAAmerican Journal of Obstetrics and Gynecology 126:479-484, October 1976


MN1-5482 Rev.2 5-85



Hill CD 15.1-38.4wks Measurement ±day

Lyndon M. Hill, MD, David Guzick, MD, PhD, Joanne Fries, RDMS, Joyce Hixson, RDMS, and Dawn Rivello, RDMS, "The Transverse Cerebellar Diameter in Estimating Gestational Age in the Large for Gestational Age Fetus", American Journal of Obstetrics and Gynecology, Volume 75, Number 6, June 1990, pp.981-985.

Goldstein CD 15.0-39.0wks 10-50-90%tile Cerebellar measurements with ultrasonography in the evaluation of fetal growth and development.

Israel Goldstein, M.D., E. Albert Reece, M.D., Gianluigi Pilu, M.D., Luciano Bovicelli, M.D., and John C. Hobbins, M.D.American Journal of Obstetrics and Gynecology, May 1987, pp.1065-1069. <Table 1>

EES 43days-67days 10-50-90%tile Endovaginal Ultrasonographic Measurement of Early Embryonic ize as a Means of Assessing Gestational Age

Steven R. Goldstein, MD, Robert Wolfson, MD, PhDJ. Ultrasound Med. 13:27-31, 1994. <Figure 3>

Hellman mGS 5.0-12.1wks (Growth and development of the human fetus prior to the 20th week of gestation)

American Journal of Obstetrics & Gynecology 1969 ; 103 : 784-800

Robinson CRL 6.2-13.6wks Measurement ±day

A Critical Evaluation of Sonar "Crown-Rump Length" Measurements

Robinson HP, Fleming JEEBritish Journal of Obstetrics and Gynecology82:702-710, September 1975

Daya CRL 6.1-13.2wks Measurement ±day

(Accuracy of gestational age estimation by means of fetalcrown-rump length measurement)

American Journal of Obstetrics & Gynecology1993 ; 168 : 903-908 Table Data : 9 {Dating format}

Nelson CRL 8.1-15.0wks Measurement ±day

Comparison of Methods for Determining Crown-Rump Measurement by Real-Time UltrasoundNelson LHJournal of Clinical Ultrasound 9:67-70, February 1981


5-86 MN1-5482 Rev.2



Hohler FL 12.0-40.5wks Measurement ±day

Fetal Femur Length : Equation for Computer Calculation of Gestational Age from Ultrasound Measurements

Hohler CW, Quetel TAAmerican Journal of Obstetrics and Gynecology 143:479-481, June 1982

O’Brien FL 14.0-40.0wks Week± 2SD Assessment of Gestational Age in the Second Trimester by Real-Time Ultrasound Measurement of the Femur Length.

O’-Brien GD, Queennan JT, Campbell S (American Journal of Obstetrics & Gynecology 139:540-545, Mar. 1981)

Warda FL 13.1-40.6wks Measurement ±day

Fetal Femur Length : A Critical Reevaluation of the Relationship to Menstrual Age

Warda AH, Deter RL, Rossavik IK, Carpenter RJ, Hadlock FPAmerican Journal of Obstetrics and Gynecology 66(1):69-75, July 1985

Chitty BPDHC

12.0-42.0wks12.0-42.0wks

3-50-97% tile Charts of fetal size:2.Head measurements

Lyn S ChittyBritish Journal of Obstetrics and Gynaecology February 1994, Vol.101, pp.35-43 <Table 4,7>

AC 12.0-42.0wks Charts of fetal size:3.Abdominal measurementsLyn S ChittyBritish Journal of Obstetrics and Gynaecology February 1994, Vol.101, pp.125-131 <Table 4>

FL 12.0-42.0wks Charts of fetal size:4.Femur lengthLyn S ChittyBritish Journal of Obstetrics and Gynaecology February 1994, Vol.101, pp.132-135 <Table 2>

JSUM’03 CRL

BPDACFL

56.0-80.0days10.0-42.0wks16.0-42.0wks16.0-42.0wks

Measurement ±dayweek ± SDweek ± SDweek ± SD

Regarding Public Notice concerning Standardization of Fetus Ultrasound Measurement and Japanese Standard Value

J Med Ultrasonics Vol.28 No.5 2001


MN1-5482 Rev.2 5-87



5-6-4-2. FW Equations (Fetus Weight)

Sonek NBL 11.0-40.0wks 5-95%ile Nasal bone length throughout gestation :normal ranges based on 3537 fetal ultrasound measurements.J. D. SONEKUltrasound Obstet Gynecol 2003 ; 21 ; 152-155

AuthorMeasurement

PartReference

Tokyo U BPD,APTD,TTD,FL

Formulas for fetal weight estimation by Ultrasound measurements based on neonatal specific gravitiesNorio Shinozuka, Takashi Okai, Shiro Kohzuma, Masaaki Mukubo, Chen-Ting Shih, Tsugio Maeda, Yoshinori Kuwabara, and Masahiko MizunoAm J Obstet Gynecol :Volume157 Number5:1140-1145,November1987

Osaka U BPD,FTA,FL Mineo AokiPerinatal Care Vol.9 No.5,(407-422)

Hadlock 1:AC,FL2:AC,HC,FL3:BPD,AC,FL4:HC,AC5: BPD,HC,AC,FL

Estimation of fetal weight with the use of head,body,and femur measurement-A prospective studyFrank P. Hadlock, R.B.Harrist, Ralph S.Sharman, Russel L Deter, and Seung K.ParkAm J Obstet Gynecol :Volume151 Number3: 333-337, Febrary1,1985

Sonographic Estimation of Fetal weightFrank P. Hadlock, R.B.Harrist, Robert J.Carpenter, Russel L Deter, Seung K.ParkRadiology Volume150 Number2:535-540

Shinozuka BPD, AC, FL Norio Shonozuka, et al.

Jpn J Med Ultrasonics, Volume 23, Number 12, 1996, pp.877-888.

Shepard BPD AC An evaluation of two equations for predicting fetal weight by Ultrasound

Mary Jo Shepard, Virginia A.Richards, PHIL, Richard L. Berkowitz.,Steven L. Warsof,John C.Hobbins

Am J Obstet Gynecol :Volume142 Number1:47-54,January1,1982

Hansmann BPD,TTD Ultrashalldiagnostick in Geburtshilfe und Gynakologie

Hansmann M., Hackeloer B.J. and Staudach ASpringer-Verlag, Berlin, Heidelberg, New York, Tokyo 1985


5-88 MN1-5482 Rev.2



5-6-4-3. FW Growth tables (Normal Range)wks: weeks (**.*wks = **w*d)

Warsof BPD,AC The estimation of fetal weight by computer-assisted analysysSteven L.Warsof, Parviz Gohari, Richard L. Berkowitz, John C.HobbinsAm J Obstet Gynecol :Volume128 Number8:881-892-,August15,1977

Campbell AC Ultrasonic measurement of fetal abdominal circumference in estimation of fetal weight.

Campbell S, Wilkin D,Am J Obstet Gynecol :82:689,1975

JSUM’03 BPD, AC, FL Regarding Public Notice concerning Standardization of Fetus Ultrasound Measurement and Japanese Standard Value


Author Range Data form ReferenceBrenner 21.0-44.0wks 10-50-90%

tileA Standard of Fetal Growth for the United States of America Brenner WE, Edelman DA, Hendricks CHAmerican Journal of Obstetrics and Gynecology 126:555-564, November 1976

Osaka U 16.0-40.0wks ± 1, 1.5, 2SD Mineo AokiPerinatal Care Vol.9 No.5,(407-422)

Hadlock 10.0-40.0wks 10-50-90%tile

In Utero Analysis of Fetal Growth : A Sonographic Weight standard.

Hadlock FP, Harrist RB, Martinez-Poyer JRadiology 181:129-133,1991

Shinozuka 18.0-41.0wks ± 1.5SD Norio Shinozuka, et al.

Jpn J Med Ultrasonics, Volume 23, Number 12, 1996, pp.877-888. <Table 1>

Yarkoni(Twins)

16.0-38.0wks 5-50-95%tile Estimated Fetal Weight in the Evaluation of Growth in Twin Gestations: A Prospective Longitudinal Study

Shaul Yarkoni, MD, E. Albert Reece, MD, Theodore Holford, PhD, Theresa Z. O'Connor, MPH, AndJohn C. Hobbins, MD.

Obstetrics & Gynecology, Volume 69, Number 4, April 1987, pp.636-639. <Table 1>

AuthorMeasurement

PartReference

MN1-5482 Rev.2 5-89



5-6-4-4. Interval Growth Rate Tablewks: weeks (**.*wks = **w*d)

5-6-4-5. Fetal Ratio tables by Gestational Age

wks: weeks (**.*wks = **w*d)

Doubilet 10.0-43wks 10-90% tile Improved Birth Weight Table for Neonates Developed from GestationsDated by Early Ultrasonographty:Doubilet PM et al;

J Ultrasound Med 16;241-249,1997JSUM’03 18.0-41.0wks ± 1.5SD Regarding Public Notice concerning Standardization of Fetus

Ultrasound Measurement and Japanese Standard Value


AuthorMeasureme

nt PartData form Reference

Levon N BPDAverage ADFLAC

17.0-36.0wks

Interval of 4weeks 6weeks 8weeks 10weeks

10-50-90%tile

Normal Interval Fetal Growth Rates Based on Obstetrical Ultrasonographic Measurements

Levon N.Nazarian,MD, Ethan J.Halpern,MD, Alfred B.Kurtz,MD, Walter W. Hauck,PhD, Laurence Needleman,MD

J Ultrasound Med 14:829-836,1995

Ratio Author Range Data form ReferenceCI(BPDo/OFDo)

Hadlock 14.0-40.0wks

± 2SD Estimated Fetal Age : Effect of Head Shape on BPDHadlock FP, Deter RL, Carpenter RJ, Park SKAmerican Journal of Roentgenology 137:83-85, July 1981

FL/BPD Hohler 23.0-40.0wks

10-90%tile Comparison of Ultrasound Femur Length and Biparietal Diameter in Late PregnancyHohler CW, Quetel TAAmerican Journal of Obstetrics and Gynecology 141:759-762, December 1981


5-90 MN1-5482 Rev.2



FL/AC Hadlock 21.0-42.0wks

± 2SD A Date-Independent Predictor of Intrauterine Growth Retardation : Femur Length/Abdominal Circumference RatioHadlock FP, Deter RL, Harrist RB, Roecker E, Park SKAmerican Journal of Roentgenology 141:979-984, November 1983

HC/AC Campbell 13.0-42.0wks

5-95%tile Ultrasound Measurements of the Fetal Head to Abdominal Circumference Ratio in the Assessment of Growth RetardationCampbell S, Thoms ABritish Journal of Obstetrics and Gynecology 84:165-174, March 1977

LVW/HW P & J 15.0-38.0wks

± 2SD Fetal Lateral Ventricular Ratio Determination During the Second Trimester Dolores H Pretorius, Julia A Drose,Michael L.Manco-Johnson.J Ultrasound Med 5: 121-124, March 1986

Evaluation of Fetal Intracranial Anatomy by Static and Real-Time Ultrasound Michael L. Johnson, Morgan G . Dunne, Lawrence A Mack, Carop L. RashbaumJ Clin Ultrasound 8 : 311-318, August 1980

FL/HC Hadlock 15.0-42.0wks

± 2SD The Femur Length/Head Circumference Relation in Obstetric Sonography

Frank P. Hadlock, MD, Ronald B. Harrist, PhD, Yogesh Shah, MD, Seung K. Park, MD.Journal of Ultrasound in Medicine, Volume 3, October 1984, pp.439-442. <Table 1>

Ratio Author Range Data form Reference

MN1-5482 Rev.2 5-91



5-6-4-6. AFI tables by Gestational Age

wks: weeks (**.*wks = **w*d)

5-6-4-7. RI ,PI tables by Gestational Age

Author Range Data form ReferenceAFI(mm) Moore et al. 16.0-42.0wks 5-95%tile The amniotic fluid index in normal human pregnancy

Thomas R. Moore, MD, and Jonathan E. Cayle, MDAmerican Journal of Obstetrics and Gynecology, Volume 162, Number 5, May 1990, pp.1168-1173. <Table 6>

AFI(cm) Phelan et al. 36.0-42.0wks Lower-Upper

Amniotic Fluid Volume Assessment with the Four-Quadrant Technique at 36-42 Weeks' Gestation

Jeffrey P. Phelan, M.D., Carl Vernon Smith, M.D., Paula Broussard, R.N., Mary Small, M.D.The Journal of Reproductive Medicine, Volume 32, Number 7, July 1987, pp.540-542. <Table 1>

AFI(cm) Jeng et al. 13.0-42.0wks ± 1SD Amniotic Fluid Index Measurement with the Four-Quadrant Technique During Pregnancy

Cherng-Jye Jeng, M.D., Tian-Jii Jou, M.D., Kuo-Gon Wang, M.D., Yuh-Cheng Yang, M.D., Yi-Nan Lee, M.D., Chung-Chi Lan, M.D.The Journal of Reproductive Medicine, Volume 35, Number 7, July 1990, pp.674-677. <Table 1>

Author Range Data form ReferenceRI-MCARI-UmAPI-MCAPI-UmA

Shinozuka 21.0-41.0wks13.0-41.0wks 21.0-41.0wks13.0-41.0wks

10-90%ile Ultrasound in Obstetrics and Gynecology(N. Shinozuka's Home Page)Norio Shinozukahttp://www.shinozuka.com/

RI-MCARI-UmAPI-MCAPI-UmA

JSUM’03 20.0-41.0wks20.0-41.0wks 20.0-41.0wks20.0-41.0wks

10-90%ile, 10-95%ile

Regarding Public Notice concerning Standardization of Fetus Ultrasound Measurement and Japanese Standard Value


5-92 MN1-5482 Rev.2



5-6-4-8. BPP Scoring

(1) Frank A.Manning, et al. :Antepartum fetal evaluation: Development of a fetal biophysical profile scoreAm J Obstet Gynecol. 1980 Mar 15; 136(6): 787-95.

(2) Antony M. Vintzileos, et al. :The fetal biophysical profile and its predictive value.Obstetrics and Gynecology62: 271 - 278, 1983

5-6-4-9. B, M mode

(1) CTRD Paladini, S K Chita, L D. :Prenatal measurement of cardiothoracic ratio in evaluation of heart diseaseArchives of Disease in Childhood, 1990; 65; 20 - 23

(2) CTARYoshihide Chiba et al. :Quantitative Analysis of Cardiac Function in Non-Immunological Hydrops fetalisFetal Diagn Ther 1990; 5: 175 - 188

(3) AFV, AF PocketManning FA et al. :Quantitative amniotic fluid volume determination by ultrasound: Antepartum detection of intrauterine growth retardation.Am J Obstet Gynec 139: 254 - 259, 1981

(4) CervixAndersen HF, Nugent CE, Wanty SD, Hayashi RH. :Prediction of risk for preterm delivery by ultrasonographic measurement of cervical length.Am J Obstet Gynecol. 1990 Sep; 163(3): 859 - 67

(5) Fetal Heart RateCALLEN:Ultrasonography in Obstetrics and Gynecology 4th EditionSAUNDESS p132 SBN0-7216-8132-8

(6) LV Function (EF, FS), LVOT, RVOTY. ChibaISBN4-7653-0572-4 C3047 P9800E

MN1-5482 Rev.2 5-93



5-6-4-10. D mode

(1) Fetal Doppler RecommendationKleinman, Huhta, and SilvermanDoppler echocardiography in the human fetusJounal of the American Society of Echocardiography Volume1: Number4, July-August 1988: 287-290

(2) Uterine Artery, Umbilical artery, MCA, Descending Aorta, Renal Artery: PI, RI, S/DDopplersonographic in der GeburtshifeH.Fendel & Ch. Sohn MEDICAL VIEWISBN4-89553-288-7 C3047 P6180

(3) Uterine Artery(PI, S/D)McCowan et al. :

Uterine artery flow velocity waveforms in normal and growth-retarded pregnanciesAm J Obstet Gynecol Volume158 Number 3, Part1: , March1988: 499-504

(RI)S.Bewley et al. :

Uteroplacental Doppler flow velocity waveforms in the second trimester. A complex circulationBritish Journal of Obstetrics and Gynecology September1989, Vol.96, pp1040-1046

S.Campbell et al:New Doppler Technique for Assessing uteroplacental Blood FlowTHE LANCET, MARCH 26, 1983, p673-677

(S/D)B.J.Trudinger et al. :

Uteroplacental blood flow velocity-time waveform in normal and complicated pregnancyBritish Journal of Obstetrics and Gynecology January 1985, Vol.92, pp39-45

Trudinger, Giles, and Cook:Flow velocity waveforms in the maternal uteroplacental and umbilical placental circulationsAm J Obstet Gynecol Volume152 Number2, : May15, 1983: 155-163

5-94 MN1-5482 Rev.2



(4) Umbilical artery(PI,RI(=Pourcelot ratio), S/D (=A/B))R.S.Thompson et al.

Doppler ultrasound waveform indices: A/B Ratio, pulsatility index and Pourcelot ratioBritish Journal of Obstetrics and Gynecology June1988, Vol.95, pp581-588

R.S.Thompson et al. :Umbilical artery velocity waveforms: normal reference values for A/B ratio and Pourcelot RatioBritish Journal of Obstetrics and Gynecology June1988, Vol.95, pp589-591

(S/D =A/B)B.J.Trudinger et al. :

Fetal umbilical artery flow velocity waveforms and placental resistance :clinical significanceBritish Journal of Obstetrics and Gynecology January 1985, Vol.92, pp23-30

W. B. Giles et al. :Fetal umbilical artery flow velocity waveforms and placental resistance :Pathological CorrectionBritish Journal of Obstetrics and Gynecology January 1985, Vol.92, pp31-38

Schulman et al. :Umbilical velocity wave ratios in human pregnancyAm. J. Obstet. Gynecol. April 1 19984, Volume148 Number7, 985-990

Trudinger, Giles, and Cook:Flow velocity waveforms in the maternal uteroplacental and umbilical placental circulationsAm J Obstet Gynecol Volume152 Number2,: May15, 1983: 155-163

(PI)R. L. A. ERSKINE and J. W. K. RITCHIE:

Umbilical Artery Blood Flow Characteristics in Normal and Growth-Retarded FetusesBritish Journal of Obstetrics and Gynecology Vol.92 p605, 1985

MN1-5482 Rev.2 5-95



(5) MCA(PI)S.Vyas et al. :

Middle cerebral artery flow velocity waveforms in fetal hypoxaemiaBritish Journal of Obstetrics and Gynecology September 1990, Vol.97, pp797-803

(S/D)Woo et al. :

Middle Cerebral Artery Doppler Flow Velocity WaveformsObstetrics & Gynecology Vol.70, NO.4, OCTOBER 1987: 613-616

(6) Renal artery, PIVyas, Nicolaides, and Campbell:

Renal artery flow-velocity waveforms in normal and hypoxemic fetusesAm J Obstet Gynecol Volume161 Number 1, July 1989168-172

(7) PL I(Pre Load Index)Toru Kanzaki, Yoshihide Chiba:

Evaluation of the Preload Condition of the Fetus by Inferior Vena Caval Blood Flow PatternFetal Diagn Ther 1990; 5: 168-174

5-96 MN1-5482 Rev.2



5-6-

5.D

ata

in th

e fe

tal g

row

th ta

ble

insi

de th

e sy

stem

GA

Tab

le Tabl

e N

o. 1

GS

Tabl

e N

o. 2

CR

LTa

ble

No.

4 F

LTa

ble

No.

5 L

V(T

okyo

Uni

vers

ity m

etho

d)(T

okyo

Uni

vers

ity m

etho

d)(T

okyo

Uni

vers

ity m

etho

d)(T

okyo

Uni

vers

ity m

etho

d)G

SG

esta

tiona

l wee

k ±

day

CR

LG

esta

tiona

l wee

k ±

day

FLG

esta

tiona

l wee

k ±

day

LVG

esta

tiona

l wee

k ±

day

(cm

)(a

ge o

f fet

us in

wee

ks)

(cm

)(a

ge o

f fet

us in

wee

ks)

(cm

)(a

ge o

f fet

us in

wee

ks)

(cm

)(a

ge o

f fet

us in

wee

ks)

1.00

47

1.40

87

3.23

2017

4.05

217

1.60

58

2.10

97

3.44

2118

4.39

229

2.20

611

2.90

107

3.65

2219

4.71

2311

2.70

712

3.70

117

3.87

2321

5.01

2412

3.40

813

4.60

127

4.09

2422

5.30

2514

4.10

914

5.70

137

4.31

2524

5.57

2617

4.80

1015

7.10

148

4.54

2625

5.82

2719

5.70

1116

8.80

1514

4.76

2725

6.06

2821

6.70

1217

4.98

2825

6.30

2924

5.19

2928

6.51

3025

Tabl

e N

o. 3

BP

D5.

4130

306.

7231

28(T

okyo

Uni

vers

ity m

etho

d)5.

6131

326.

9332

31B

PDG

esta

tiona

l wee

k ±

day

BPD

Ges

tatio

nal w

eek

±da

y5.

8232

357.

1333

34(c

m)

(age

of f

etus

in w

eeks

)(c

m)

(age

of f

etus

in w

eeks

)6.

0133

387.

3234

352.

0012

76.

8427

136.

1934

427.

5135

382.

4013

77.

1228

136.

3735

467.

7036

402.

7614

77.

3829

146.

5336

507.

8937

423.

1015

77.

6430

156.

6837

548.

0838

443.

3816

87.

8831

166.

8238

578.

2739

463.

7217

88.

1232

166.

9339

608.

4740

484.

0518

98.

3433

187.

0440

644.

3919

108.

5534

204.

7120

108.

7435

255.

0421

108.

9236

255.

3522

109.

0837

255.

6723

119.

2338

255.

9724

119.

3639

256.

2725

129.

4740

256.

5626

13

MN1-5482 Rev.2 5-97

5-6.Calculation Formula & Reference & Table5.Obstetrical Measurement

Tabl

e N

o. 6

A ×

TTa

ble

No.

7 C

RL

Tabl

e N

o. 8

BP

DTa

ble

No.

9 F

TA

(Tok

yo U

nive

rsity

met

hod)

(Osa

ka U

nive

rsity

met

hod)

(Osa

ka U

nive

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met

hod)

(Osa

ka U

nive

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met

hod)

wk

cm2

±da

yC

RL

Ges

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± 1S

DB

PDG

esta

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l wee

k ±

1SD

FTA

Ges

tatio

nal w

eek

± 1S

D16

12.1

88

(cm

)(a

ge o

f fet

us in

wee

ks)

(cm

)(c

m)

(age

of f

etus

in w

eeks

)(c

m2)

(age

of f

etus

in w

eeks

)(c

m2)

1714

.02

80.

877

0.16

1.33

100.

195.

6014

1.2

1816

.04

81.

308

0.26

1.72

110.

207.

3015

1.4

1918

.22

82.

049

0.37

2.09

120.

219.

2016

1.6

2020

.57

83.

0010

0.48

2.46

130.

2211

.30

171.

821

23.0

99

4.12

110.

582.

8214

0.23

13.5

018

2.0

2225

.77

95.

3012

0.69

3.18

150.

2415

.80

192.

323

28.6

19

6.49

130.

793.

5216

0.25

18.4

020

2.5

2431

.61

103.

8617

0.26

21.0

021

2.8

2534

.75

104.

2018

0.27

23.8

022

3.1

2638

.03

114.

5319

0.28

26.8

023

3.4

2741

.43

114.

8520

0.29

29.9

024

3.7

2844

.96

125.

1721

0.29

33.1

025

4.0

2948

.59

125.

4822

0.30

36.5

026

4.4

3052

.32

135.

7923

0.31

39.9

027

4.7

3156

.12

146.

0924

0.32

43.4

028

5.1

3259

.99

156.

3925

0.32

47.1

029

5.4

3363

.91

156.

6726

0.33

50.8

030

5.8

3467

.86

166.

9527

0.34

54.5

031

6.2

3571

.82

177.

2328

0.34

58.3

032

6.7

3675

.78

177.

4929

0.35

62.1

033

7.1

3779

.71

187.

7430

0.35

65.8

034

7.5

3883

.59

187.

9831

0.36

69.5

035

8.0

3987

.39

198.

2132

0.36

73.2

036

8.4

4091

.10

198.

4333

0.37

76.8

037

8.9

4194

.69

208.

6234

0.37

80.2

038

9.4

8.80

350.

3783

.50

399.

98.

9636

0.38

86.6

040

10.4

9.10

370.

389.

2138

0.38

9.30

390.

399.

3640

0.39

5-98 MN1-5482 Rev.2



Tabl

e N

o. 1

0 FL

Tabl

e N

o. 1

1 H

LTa

ble

No.

12

BP

D

(Osa

ka U

nive

rsity

met

hod)

(Osa

ka U

nive

rsity

met

hod)

(Had

lock

)FL

Ges

tatio

nal w

eek

± 1S

DH

LG

esta

tiona

l wee

k ±

1SD

BPD

Ges

tatio

nal w

eek

±da

yB

PDG

esta

tiona

l wee

k ±

day

(cm

)(a

ge o

f fet

us in

wee

ks)

(cm

)(c

m)

(age

of f

etus

in w

eeks

)(c

m)

(cm

)(a

ge o

f fet

us in

wee

ks)

(cm

)(a

ge o

f fet

us in

wee

ks)

0.94

130.

211.

0113

0.20

2.00

12w

1d6

6.10

25w

0d9

1.26

140.

221.

3114

0.21

2.10

12w

4d6

6.20

25w

2d9

1.57

150.

221.

5915

0.21

2.20

12w

6d6

6.30

25w

5d9

1.88

160.

221.

8716

0.21

2.30

13w

1d6

6.40

26w

1d9

2.18

170.

232.

1517

0.22

2.40

13w

2d6

6.50

26w

3d9

2.47

180.

232.

4118

0.22

2.50

13w

4d6

6.60

26w

6d9

2.75

190.

242.

6719

0.22

2.60

13w

6d6

6.70

27w

1d9

3.03

200.

242.

9120

0.23

2.70

14w

1d6

6.80

27w

4d9

3.30

210.

243.

1521

0.23

2.80

14w

4d6

6.90

28w

0d9

3.57

220.

253.

3822

0.23

2.90

14w

5d6

7.00

28w

2d9

3.83

230.

253.

6123

0.24

3.00

15w

0d6

7.10

28w

5d9

4.08

240.

253.

8224

0.24

3.10

15w

2d6

7.20

29w

1d9

4.32

250.

264.

0325

0.24

3.20

15w

4d6

7.30

29w

4d9

4.56

260.

264.

2326

0.25

3.30

15w

6d6

7.40

29w

6d9

4.78

270.

274.

4227

0.25

3.40

16w

1d6

7.50

30w

3d14

5.01

280.

274.

6028

0.25

3.50

16w

4d6

7.60

30w

6d14

5.22

290.

274.

7829

0.26

3.60

16w

6d6

7.70

31w

1d14

5.43

300.

284.

9430

0.26

3.70

17w

1d6

7.80

31w

4d14

5.63

310.

285.

1031

0.26

3.80

17w

3d6

7.90

32w

0d14

5.82

320.

295.

2532

0.27

3.90

17w

5d6

8.00

32w

4d14

6.01

330.

295.

3933

0.27

4.00

18w

0d10

8.10

32w

6d14

6.19

340.

295.

5334

0.27

4.10

18w

2d10

8.20

33w

2d14

6.36

350.

305.

6535

0.28

4.20

18w

4d10

8.30

33w

6d14

6.53

360.

305.

7736

0.28

4.30

18w

6d10

8.40

34w

1d14

6.69

370.

315.

8837

0.28

4.40

19w

1d10

8.50

34w

5d14

6.84

380.

315.

9838

0.29

4.50

19w

4d10

8.60

35w

1d14

6.98

390.

316.

0839

0.29

4.60

19w

6d10

8.70

35w

4d14

7.12

4003

26.

1640

0.29

4.70

20w

1d10

8.80

36w

1d25

4.80

20w

4d10

8.90

36w

4d25

4.90

20w

6d10

9.00

37w

0d25

5.00

21w

1d10

9.10

37w

4d25

5.10

21w

4d10

9.20

38w

0d25

5.20

21w

6d10

9.30

38w

4d25

5.30

22w

1d10

9.40

38w

6d25

5.40

22w

4d10

9.50

39w

3d25

5.50

22w

6d10

9.60

39w

6d25

5.60

23w

1d10

9.70

40w

4d25

5.70

23w

4d10

9.80

41w

0d25

5.80

23w

6d10

9.90

41w

4d25

5.90

24w

1d9

10.0

042

w0d

256.

0024

w4d

9

MN1-5482 Rev.2 5-99


Tabl

e N

o. 1

3 H

CTa

ble

No.

14

AC

(Had

lock

)(H

adlo

ck)

HC

Ges

tatio

nal w

eek

±da

yH

CG

esta

tiona

l wee

k ±

day

AC

Ges

tatio

nal w

eek

±da

yA

CG

esta

tiona

l wee

k ±

day

(cm

)(a

ge o

f fet

us in

wee

ks)

(cm

)(a

ge o

f fet

us in

wee

ks)

(cm

)(a

ge o

f fet

us in

wee

ks)

(cm

)(a

ge o

f fet

us in

wee

ks)

8.00

13w

3d9

23.5

025

w3d

1610

.00

15w

4d13

25.5

029

w5d

158.

5013

w5d

924

.00

25w

6d16

10.5

016

w1d

1326

.00

30w

1d21

9.00

14w

0d9

24.5

026

w3d

1611

.00

16w

4d13

26.5

030

w4d

219.

5014

w2d

925

.00

26w

6d16

11.5

016

w6d

1327

.00

31w

1d21

10.0

014

w4d

925

.50

27w

4d16

12.0

017

w2d

1327

.50

31w

4d21

10.5

015

w0d

926

.00

28w

0d16

12.5

017

w6d

1328

.00

32w

1d21

11.0

015

w2d

926

.50

28w

1d16

13.0

018

w1d

1428

.50

32w

4d21

11.5

015

w4d

927

.00

29w

1d16

13.5

018

w4d

1429

.00

33w

1d21

12.0

015

w6d

927

.50

29w

6d16

14.0

019

w1d

1429

.50

33w

4d21

12.5

016

w2d

928

.00

30w

2d19

14.5

019

w4d

1430

.00

34w

1d21

13.0

016

w4d

928

.50

31w

0d19

15.0

020

w0d

1430

.50

34w

4d21

13.5

017

w0d

929

.00

31w

4d19

15.5

020

w3d

1431

.00

35w

1d21

14.0

017

w2d

929

.50

32w

1d19

16.0

020

w6d

1431

.50

35w

4d21

14.5

017

w5d

930

.00

32w

6d19

16.5

021

w2d

1432

.00

36w

1d18

15.0

018

w1d

1130

.50

33w

4d19

17.0

021

w5d

1432

.50

36w

4d18

15.5

018

w3d

1131

.00

34w

1d19

17.5

022

w1d

1433

.00

37w

1d18

16.0

018

w6d

1131

.50

34w

6d19

18.0

022

w4d

1433

.50

37w

4d18

16.5

019

w1d

1132

.00

35w

4d19

18.5

023

w1d

1434

.00

38w

1d18

17.0

019

w4d

1132

.50

36w

2d24

19.0

023

w4d

1534

.50

38w

5d18

17.5

020

w0d

1133

.00

37w

0d24

19.5

024

w0d

1535

.00

39w

1d18

18.0

020

w3d

1133

.50

37w

5d24

20.0

024

w4d

1535

.50

39w

5d18

18.5

020

w6d

1134

.00

38w

4d24

20.5

024

w6d

1536

.00

40w

1d18

19.0

021

w1d

1134

.50

39w

1d24

21.0

025

w3d

1536

.50

40w

6d18

19.5

021

w4d

1135

.00

40w

0d24

21.5

025

w6d

1520

.00

22w

1d11

35.5

040

w6d

2422

.00

26w

2d15

20.5

022

w4d

1136

.00

41w

4d24

22.5

026

w6d

1521

.00

23w

0d11

23.0

027

w2d

1521

.50

23w

3d11

23.5

027

w5d

1522

.00

23w

6d11

24.0

028

w1d

1522

.50

24w

3d16

24.5

028

w5d

1523

.00

24w

6d16

25.0

029

w1d

15

5-100 MN1-5482 Rev.2



Tabl

e N

o. 1

5 FL

Tabl

e N

o. 1

6 C

RL

(Had

lock

)(H

adlo

ck)

FLG

esta

tiona

l wee

k ±

day

FLG

esta

tiona

l wee

k ±

day

CR

LG

esta

tiona

l wee

k C

RL

Ges

tatio

nal w

eek

(cm

)(a

ge o

f fet

us in

wee

ks)

(cm

)(a

ge o

f fet

us in

wee

ks)

(cm

)(a

ge o

f fet

us in

wee

ks)

(cm

)(a

ge o

f fet

us in

wee

ks)

1.00

12w

6d10

4.50

24w

4d22

0.2

5w5d

6.6

12w

6d1.

1013

w1d

104.

6024

w6d

220.

46w

1d6.

813

w0d

1.20

13w

3d10

4.70

25w

2d22

0.6

6w3d

7.0

13w

1d1.

3013

w4d

104.

8025

w5d

220.

86w

5d7.

213

w3d

1.40

13w

6d10

4.90

26w

1d22

1.0

7w0d

7.4

13w

4d1.

5014

w1d

105.

0026

w4d

221.

27w

3d7.

613

w5d

1.60

14w

4d10

5.10

27w

0d22

1.4

7w5d

7.8

13w

6d1.

7014

w6d

105.

2027

w3d

221.

68w

0d8.

014

w0d

1.80

15w

1d10

5.30

27w

6d22

1.8

8w2d

8.2

14w

1d1.

9015

w3d

105.

4028

w1d

222.

08w

4d8.

414

w2d

2.00

15w

5d10

5.50

28w

5d22

2.2

8w6d

8.6

14w

4d2.

1016

w0d

105.

6029

w1d

222.

49w

1d8.

814

w5d

2.20

16w

2d10

5.70

29w

4d22

2.6

9w3d

9.0

14w

6d2.

3016

w4d

105.

8030

w0d

222.

89w

4d9.

215

w0d

2.40

16w

6d10

5.90

30w

4d22

3.0

9w6d

9.4

15w

2d2.

5017

w1d

106.

0030

w6d

223.

210

w1d

9.6

15w

3d2.

6017

w4d

106.

1031

w3d

223.

410

w2d

9.8

15w

5d2.

7017

w6d

106.

2031

w6d

223.

610

w3d

10.0

15w

6d2.

8018

w1d

106.

3032

w2d

223.

810

w5d

10.2

16w

0d2.

9018

w4d

106.

4032

w6d

224.

010

w6d

10.4

16w

2d3.

0018

w6d

106.

5033

w2d

224.

211

w0d

10.6

16w

3d3.

1019

w1d

106.

6033

w6d

224.

411

w2d

10.8

16w

5d3.

2019

w4d

106.

7034

w1d

224.

611

w3d

11.0

16w

6d3.

3019

w6d

106.

8034

w5d

224.

811

w4d

11.2

17w

1d3.

4020

w2d

106.

9035

w1d

225.

011

w5d

11.4

17w

2d3.

5020

w5d

107.

0035

w5d

225.

211

w6d

11.6

17w

4d3.

6021

w0d

107.

1036

w1d

225.

412

w0d

11.8

17w

5d3.

7021

w3d

107.

2036

w5d

225.

612

w1d

12.0

17w

6d3.

8021

w6d

107.

3037

w1d

225.

812

w2d

3.90

22w

1d10

7.40

37w

5d22

6.0

12w

3d4.

0022

w4d

107.

5038

w2d

226.

212

w4d

4.10

22w

6d10

7.60

38w

6d22

6.4

12w

5d4.

2023

w2d

227.

7039

w2d

224.

3023

w5d

227.

8039

w6d

224.

4024

w1d

227.

9040

w3d

22[R

emar

k]It

is a

lread

y se

tup

at 0

.1cm

step

.

MN1-5482 Rev.2 5-101


Tabl

e N

o. 1

7 H

CTa

ble

No.

18

ACTa

ble

No.

19

FL(H

ad-9

0%)

(Had

-90%

)(H

ad-9

0%)

10-9

0% D

ata

form

10-9

0% D

ata

form

10-9

0% D

ata

form

(wee

k)10

%—

50%

—90

%(w

eek)

10%

—50

%—

90%

(wee

k)10

%—

50%

—90

%14

9.10

9.70

10.3

014

6.70

7.30

7.90

141.

301.

401.

5015

10.4

011

.00

11.6

015

7.90

8.60

9.30

151.

601.

701.

9016

11.7

012

.40

13.1

016

9.10

9.90

10.7

016

1.80

2.00

2.20

1713

.00

13.8

014

.60

1710

.30

11.2

012

.10

172.

202.

402.

6018

14.2

015

.10

16.0

018

11.5

012

.50

13.5

018

2.50

2.70

2.90

1915

.50

16.4

017

.40

1912

.60

13.7

014

.80

192.

703.

003.

3020

16.7

017

.70

18.7

020

13.8

015

.00

16.3

020

3.00

3.30

3.60

2117

.80

18.9

020

.00

2114

.90

16.2

017

.60

213.

203.

503.

8022

18.9

020

.10

21.3

022

16.0

017

.40

18.8

022

3.50

3.80

4.10

2320

.10

21.3

022

.50

2317

.00

18.5

020

.00

233.

704.

104.

5024

21.1

022

.40

23.7

024

18.1

019

.70

21.3

024

4.00

4.40

4.80

2522

.20

23.5

024

.90

2519

.10

20.8

022

.50

254.

204.

605.

0026

23.2

024

.60

26.0

026

20.1

021

.90

23.7

026

4.50

4.90

5.30

2724

.10

25.6

027

.10

2721

.10

23.0

024

.90

274.

605.

105.

6028

25.1

026

.60

28.1

028

22.0

024

.00

26.0

028

4.90

5.40

5.90

2925

.90

27.5

029

.10

2923

.00

25.1

027

.20

295.

105.

606.

1030

26.8

028

.40

30.0

030

23.9

026

.10

28.3

030

5.30

5.80

6.30

3127

.60

29.3

031

.00

3124

.90

27.1

029

.40

315.

506.

006.

5032

28.4

030

.10

31.8

032

25.8

028

.10

30.4

032

5.60

6.20

6.80

3329

.00

30.8

032

.60

3326

.70

29.1

031

.50

335.

806.

407.

0034

29.7

031

.50

33.3

034

27.5

030

.00

32.5

034

6.00

6.60

7.20

3530

.40

32.2

034

.10

3528

.30

30.9

033

.50

356.

206.

807.

4036

30.9

032

.80

34.7

036

29.2

031

.80

34.4

036

6.40

7.00

7.60

3731

.40

33.3

035

.20

3730

.00

32.7

035

.40

376.

607.

207.

9038

31.9

033

.80

35.8

038

30.8

033

.60

36.4

038

6.70

7.40

8.10

3932

.20

34.2

036

.20

3931

.60

34.4

037

.30

396.

807.

508.

2040

32.6

034

.60

36.6

040

32.4

035

.30

38.2

040

7.00

7.70

8.40

5-102 MN1-5482 Rev.2



Tabl

e N

o. 2

0 B

PD

: Bip

arie

tal d

iam

eter

Tabl

e N

o. 2

1 H

C(H

adlo

ck-8

4)(H

adlo

ck-8

4)G

esta

tiona

l wee

k

Ges

tatio

nal w

eek

Ges

tatio

nal w

eek

Ges

tatio

nal w

eek

Ges

tatio

nal w

eek

(cm

)(a

ge o

f fet

us in

wee

ks)

±da

y(c

m)

(age

of f

etus

in w

eeks

) ±

day

(cm

)(a

ge o

f fet

us in

wee

ks)

±da

y(c

m)

(age

of f

etus

in w

eeks

) ±

day

(cm

)(a

ge o

f fet

us in

wee

ks)

±da

y1.

512

w1d

84.

820

w4d

128.

132

w4d

225.

512

w0d

821

.523

w4d

101.

612

w2d

84.

920

w6d

128.

233

w0d

226.

012

w2d

822

.024

w0d

141.

712

w4d

85.

021

w1d

128.

333

w3d

226.

512

w4d

822

.524

w4d

141.

812

w5d

85.

121

w3d

128.

433

w6d

227.

012

w6d

823

.025

w0d

141.

913

w0d

85.

221

w5d

128.

534

w2d

227.

513

w1d

823

.525

w4d

142.

013

w1d

85.

322

w1d

128.

634

w5d

228.

013

w3d

824

.026

w0d

142.

113

w3d

85.

422

w3d

128.

735

w1d

228.

513

w5d

824

.526

w4d

142.

213

w4d

85.

522

w5d

128.

835

w4d

229.

014

w0d

825

.027

w1d

142.

313

w6d

85.

623

w1d

128.

936

w0d

229.

514

w2d

825

.527

w5d

142.

414

w0d

85.

723

w3d

129.

036

w3d

2210

.014

w5d

826

.028

w2d

142.

514

w2d

85.

823

w5d

129.

136

w6d

2210

.515

w0d

826

.528

w6d

142.

614

w4d

85.

924

w1d

159.

237

w3d

2211

.015

w2d

827

.029

w3d

142.

714

w5d

86.

024

w3d

159.

337

w6d

2211

.515

w4d

827

.530

w0d

212.

815

w0d

86.

124

w6d

159.

438

w2d

2212

.016

w0d

828

.030

w5d

212.

915

w2d

86.

225

w1d

159.

538

w5d

2212

.516

w2d

828

.531

w2d

213.

015

w3d

86.

325

w4d

159.

639

w1d

2213

.016

w4d

829

.032

w0d

213.

115

w5d

86.

425

w6d

159.

739

w5d

2213

.517

w0d

829

.534

w4d

213.

216

w0d

86.

526

w2d

159.

840

w1d

2214

.017

w2d

830

.033

w2d

213.

316

w2d

86.

626

w4d

159.

940

w4d

2214

.517

w5d

830

.534

w0d

213.

416

w4d

86.

727

w0d

1510

.041

w1d

2215

.018

w1d

1031

.034

w4d

213.

516

w5d

86.

827

w3d

1510

.141

w4d

2215

.518

w3d

1031

.535

w2d

213.

617

w0d

86.

927

w5d

1510

.242

w1d

2216

.018

w6d

1032

.036

w0d

193.

717

w2d

87.

028

w1d

1516

.519

w2d

1032

.536

w6d

193.

817

w4d

87.

128

w4d

1517

.019

w4d

1033

.037

w4d

193.

917

w6d

87.

228

w6d

1517

.520

w0d

1033

.538

w2d

194.

018

w1d

127.

329

w2d

1518

.020

w3d

1034

.039

w1d

194.

118

w3d

127.

429

w5d

1518

.520

w6d

1034

.539

w6d

194.

218

w5d

127.

530

w1d

2219

.021

w2d

1035

.040

w5d

194.

319

w0d

127.

630

w3d

2219

.521

w5d

1035

.541

w4d

194.

419

w2d

127.

730

w6d

2220

.022

w1d

104.

519

w4d

127.

831

w2d

2220

.522

w4d

104.

619

w6d

127.

931

w5d

2221

.023

w1d

104.

720

w1d

128.

032

w1d

22

[Rem

ark]

It is

alre

ady

setu

p at

0.1

cm st

ep.

MN1-5482 Rev.2 5-103


Tabl

e N

o. 2

2 A

CTa

ble

No.

23

FL(H

adlo

ck-8

4-84

)(H

adlo

ck--

84)

Ges

tatio

nal w

eek

Ges

tatio

nal w

eek

Ges

tatio

nal w

eek

Ges

tatio

nal w

eek

Ges

tatio

nal w

eek

(cm

)(a

ge o

f fet

us in

wee

ks)

±da

y(c

m)

(age

of f

etus

in w

eeks

) ±

day

(cm

)(a

ge o

f fet

us in

wee

ks)

±da

y(c

m)

(age

of f

etus

in w

eeks

) ±

day

(cm

)(a

ge o

f fet

us in

wee

ks)

±da

y5.

012

w0d

1221

.526

w0d

150.

712

w1d

103.

922

w4d

137.

136

w3d

225.

512

w3d

1222

.026

w3d

150.

812

w3d

104.

022

w6d

137.

236

w6d

226.

012

w6d

1222

.526

w6d

150.

912

w5d

104.

123

w2d

137.

337

w3d

226.

513

w1d

1223

.027

w3d

151.

013

w0d

104.

223

w5d

137.

437

w6d

227.

013

w4d

1223

.527

w6d

151.

113

w2d

104.

324

w0d

157.

538

w3d

227.

514

w0d

1224

.028

w2d

151.

213

w4d

104.

424

w3d

157.

638

w6d

228.

014

w3d

1224

.528

w5d

151.

313

w6d

104.

524

w6d

157.

739

w3d

228.

514

w6d

1225

.029

w2d

151.

414

w1d

104.

625

w2d

157.

839

w6d

229.

015

w1d

1225

.529

w5d

151.

514

w3d

104.

725

w5d

157.

940

w3d

229.

515

w4d

1226

.030

w1d

211.

614

w5d

104.

826

w1d

158.

040

w6d

2210

.016

w0d

1226

.530

w4d

211.

715

w0d

104.

926

w3d

158.

141

w3d

2210

.516

w3d

1227

.031

w1d

211.

815

w2d

105.

026

w6d

158.

242

w0d

2211

.016

w6d

1227

.531

w4d

211.

915

w4d

105.

127

w2d

1511

.517

w2d

1228

.032

w0d

212.

016

w0d

105.

227

w5d

1512

.017

w5d

1228

.532

w4d

212.

116

w2d

105.

328

w1d

1512

.518

w1d

1429

.033

w0d

212.

216

w4d

105.

428

w4d

1513

.018

w4d

1429

.533

w3d

212.

316

w6d

105.

529

w0d

1513

.519

w0d

1430

.034

w0d

212.

417

w2d

105.

629

w3d

1514

.019

w3d

1430

.534

w3d

212.

517

w4d

105.

729

w6d

1514

.519

w6d

1431

.035

w0d

212.

617

w6d

105.

830

w2d

2115

.020

w2d

1431

.535

w3d

212.

718

w2d

135.

930

w5d

2115

.520

w5d

1432

.035

w6d

212.

818

w4d

136.

031

w2d

2116

.021

w1d

1432

.536

w3d

212.

918

w6d

136.

131

w5d

2116

.521

w4d

1433

.036

w6d

213.

019

w2d

136.

232

w1d

2117

.022

w0d

1433

.537

w3d

213.

119

w4d

136.

332

w4d

2117

.522

w3d

1434

.037

w6d

213.

220

w0d

136.

433

w0d

2118

.022

w6d

1434

.538

w3d

213.

320

w2d

136.

533

w4d

2118

.523

w2d

1435

.038

w6d

213.

420

w5d

136.

634

w0d

2119

.023

w5d

1435

.539

w3d

213.

521

w0d

136.

734

w3d

2119

.524

w1d

1536

.039

w6d

213.

621

w3d

136.

835

w0d

2120

.024

w4d

1536

.540

w3d

213.

721

w5d

136.

935

w3d

2120

.525

w1d

1537

.041

w0d

213.

822

w1d

137.

035

w6d

2121

.025

w4d

1537

.541

w3d

2138

.042

w0d

21[R

emar

k]It

is a

lread

y se

tup

at 0

.1cm

step

.

5-104 MN1-5482 Rev.2



Tabl

e N

o. 2

4 FL

Tabl

e N

o. 2

5 H

L

(Jea

nty)

(Jea

nty)

FLG

esta

tiona

l wee

k ±

day

FLG

esta

tiona

l wee

k ±

day

HL

Ges

tatio

nal w

eek

±da

yH

LG

esta

tiona

l wee

k ±

day

(cm

)(a

ge o

f fet

us in

wee

ks)

(cm

)(a

ge o

f fet

us in

wee

ks)

(cm

)(a

ge o

f fet

us in

wee

ks)

(cm

)(a

ge o

f fet

us in

wee

ks)

1.00

12w

4d16

4.60

25w

3d16

1.00

12w

4d19

4.10

24w

6d20

1.10

12w

6d16

4.70

25w

6d16

1.10

12w

6d19

4.20

25w

2d19

1.20

13w

2d16

4.80

26w

1d16

1.20

13w

1d19

4.30

25w

5d20

1.30

13w

4d16

4.90

26w

4d16

1.30

13w

4d19

4.40

26w

1d19

1.40

13w

6d16

5.00

27w

0d15

1.40

13w

6d19

4.50

26w

5d20

1.50

14w

1d16

5.10

27w

3d16

1.50

14w

1d19

4.60

27w

1d19

1.60

14w

4d16

5.20

27w

6d16

1.60

14w

4d19

4.70

27w

5d20

1.70

14w

6d16

5.30

28w

1d16

1.70

14w

6d19

4.80

28w

1d19

1.80

15w

1d16

5.40

28w

4d16

1.80

15w

1d19

4.90

28w

6d20

1.90

15w

4d16

5.50

29w

1d16

1.90

15w

4d19

5.00

29w

2d19

2.00

15w

6d16

5.60

29w

4d16

2.00

15w

6d20

5.10

29w

6d19

2.10

16w

2d16

5.70

29w

6d16

2.10

16w

2d20

5.20

30w

2d20

2.20

16w

4d16

5.80

30w

2d16

2.20

16w

5d20

5.30

30w

6d19

2.30

16w

6d16

5.90

30w

5d15

2.30

17w

1d20

5.40

31w

3d19

2.40

17w

2d16

6.00

31w

1d16

2.40

17w

3d19

5.50

32w

0d20

2.50

17w

4d16

6.10

31w

4d16

2.50

17w

6d19

5.60

32w

4d19

2.60

18w

0d15

6.20

32w

0d15

2.60

18w

1d19

5.70

33w

1d20

2.70

18w

2d16

6.30

32w

3d16

2.70

18w

4d20

5.80

33w

4d20

2.80

18w

5d15

6.40

32w

6d16

2.80

19w

0d20

5.90

34w

1d19

2.90

19w

0d15

6.50

33w

2d16

2.90

19w

3d19

6.00

34w

6d20

3.00

19w

3d16

6.60

33w

5d15

3.00

19w

6d19

6.10

35w

2d20

3.10

19w

6d16

6.70

34w

1d16

3.10

20w

2d19

6.20

35w

6d20

3.20

20w

1d16

6.80

34w

4d16

3.20

20w

5d20

6.30

36w

4d19

3.30

20w

4d16

6.90

35w

0d15

3.30

21w

1d19

6.40

37w

1d19

3.40

20w

6d16

7.00

35w

4d16

3.40

21w

4d19

6.50

37w

5d20

3.50

21w

1d16

7.10

35w

6d16

3.50

22w

0d20

6.60

38w

2d20

3.60

21w

4d16

7.20

36w

3d16

3.60

22w

4d19

6.70

38w

6d20

3.70

22w

0d15

7.30

36w

6d16

3.70

22w

6d20

6.80

39w

4d19

3.80

22w

3d16

7.40

37w

2d16

3.80

23w

3d20

6.90

40w

1d19

3.90

22w

5d15

7.50

37w

5d15

3.90

23w

6d19

4.00

23w

1d16

7.60

38w

1d16

4.00

24w

2d20

4.10

23w

4d16

7.70

38w

4d16

4.20

23w

6d16

7.80

39w

1d16

4.30

24w

2d16

7.90

39w

4d16

4.40

24w

5d15

8.00

40w

0d15

4.50

25w

0d15

MN1-5482 Rev.2 5-105


Tabl

e N

o. 2

6 TI

BTa

ble

No.

27

ULN

A(J

eant

y)(J

eant

y)TI

BG

esta

tiona

l wee

k ±

day

TIB

Ges

tatio

nal w

eek

±da

yU

LNA

Ges

tatio

nal w

eek

±da

yU

LNA

Ges

tatio

nal w

eek

±da

y(c

m)

(age

of f

etus

in w

eeks

)(c

m)

(age

of f

etus

in w

eeks

)(c

m)

(age

of f

etus

in w

eeks

)(c

m)

(age

of f

etus

in w

eeks

)

1.00

13w

3d20

4.10

25w

5d20

1.00

13w

1d21

4.40

28w

2d22

1.10

13w

5d20

4.20

26w

1d21

1.10

13w

4d21

4.50

28w

6d21

1.20

14w

1d21

4.30

26w

4d21

1.20

13w

6d21

4.60

29w

3d22

1.30

14w

3d20

4.40

27w

1d21

1.30

14w

1d22

4.70

29w

6d22

1.40

14w

6d21

4.50

27w

4d21

1.40

14w

4d22

4.80

30w

4d22

1.50

15w

1d21

4.60

28w

0d20

1.50

15w

0d22

4.90

31w

1d22

1.60

15w

4d21

4.70

28w

4d21

1.60

15w

3d22

5.00

31w

4d22

1.70

15w

6d21

4.80

29w

0d20

1.70

15w

5d22

5.10

32w

1d22

1.80

16w

1d21

4.90

29w

3d20

1.80

16w

1d21

5.20

32w

6d22

1.90

16w

4d21

5.00

29w

6d21

1.90

16w

4d21

5.30

33w

3d22

2.00

17w

0d20

5.10

30w

3d20

2.00

16w

6d22

5.40

34w

0d22

2.10

17w

3d20

5.20

30w

6d21

2.10

17w

2d22

5.50

34w

4d22

2.20

17w

6d21

5.30

31w

3d20

2.20

17w

5d22

5.60

35w

1d22

2.30

18w

1d21

5.40

31w

6d21

2.30

18w

1d21

5.70

35w

6d21

2.40

18w

4d21

5.50

32w

3d20

2.40

18w

4d21

5.80

36w

3d22

2.50

18w

6d21

5.60

32w

6d21

2.50

19w

0d22

5.90

37w

1d22

2.60

19w

2d20

5.70

33w

3d20

2.60

19w

3d22

6.00

37w

5d22

2.70

19w

5d20

5.80

33w

6d21

2.70

19w

6d21

6.10

38w

2d22

2.80

20w

1d21

5.90

34w

3d20

2.80

20w

2d22

6.20

39w

0d22

2.90

20w

4d21

6.00

34w

6d21

2.90

20w

6d22

6.30

39w

4d22

3.00

21w

0d20

6.10

35w

3d20

3.00

21w

1d22

6.40

40w

2d22

3.10

21w

3d20

6.20

35w

6d21

3.10

21w

5d22

3.20

21w

6d21

6.30

36w

4d21

3.20

22w

1d21

3.30

22w

1d21

6.40

37w

0d20

3.30

22w

5d22

3.40

22w

4d21

6.50

37w

4d21

3.40

23w

1d21

3.50

23w

1d21

6.60

38w

0d21

3.50

23w

4d22

3.60

23w

4d21

6.70

38w

4d21

3.60

24w

1d21

3.70

23w

6d21

6.80

39w

1d21

3.70

24w

4d22

3.80

24w

3d20

6.90

39w

5d20

3.80

25w

1d21

3.90

24w

6d21

3.90

25w

4d22

4.00

25w

2d20

4.00

26w

1d21

4.10

26w

5d22

4.20

27w

1d22

4.30

27w

5d22

5-106 MN1-5482 Rev.2



Tabl

e N

o. 2

8 B

DTa

ble

No.

29

FLTa

ble

No.

30

HL

(Jea

nty)

(Jea

-95%

)(J

ea-9

5%)

BD

Ges

tatio

nal w

eek

±da

yB

DG

esta

tiona

l wee

k ±

day

FL95

% D

ata

form

HL

95%

Dat

a fo

rm(c

m)

(age

of f

etus

in w

eeks

)(c

m)

(age

of f

etus

in w

eeks

)(w

eek)

5%—

50%

—95

% c

m(w

eek)

5%—

50%

—95

% c

m1.

5010

w3d

245.

1031

w6d

2311

--0.

60--

11--

0.60

--1.

6011

w0d

245.

2032

w4d

2412

--0.

90--

120.

300.

901.

001.

7011

w4d

245.

3033

w0d

2413

0.60

1.20

1.90

130.

501.

302.

001.

8012

w1d

245.

4033

w4d

2414

0.50

1.50

1.90

140.

501.

602.

001.

9012

w6d

235.

5034

w1d

2415

1.10

1.90

2.60

151.

101.

802.

602.

0013

w3d

235.

6034

w6d

2316

1.30

2.20

2.40

161.

202.

102.

502.

1014

w0d

235.

7035

w3d

2317

2.00

2.50

2.90

171.

902.

402.

902.

2014

w4d

235.

8036

w0d

2318

1.90

2.80

3.10

181.

802.

703.

002.

3015

w1d

245.

9036

w4d

2319

2.30

3.10

3.80

192.

202.

903.

602.

4015

w6d

236.

0037

w1d

2420

2.20

3.30

3.90

202.

303.

203.

602.

5016

w3d

236.

1037

w6d

2321

2.70

3.60

4.50

212.

803.

404.

002.

6017

w0d

236.

2038

w3d

2322

2.90

3.90

4.40

222.

803.

604.

002.

7017

w4d

236.

3039

w0d

2323

3.50

4.10

4.80

233.

203.

804.

502.

8018

w1d

246.

4039

w4d

2324

3.40

4.40

4.90

243.

104.

104.

602.

9018

w6d

236.

5040

w1d

2425

3.80

4.60

5.40

253.

504.

305.

103.

0019

w3d

2326

3.90

4.90

5.30

263.

604.

504.

903.

1020

w0d

2427

4.50

5.10

5.70

274.

204.

605.

103.

2020

w4d

2428

4.50

5.30

5.70

284.

104.

805.

203.

3021

w1d

2429

4.90

5.60

6.20

294.

405.

005.

603.

4021

w5d

2430

4.90

5.80

6.20

304.

405.

205.

603.

5022

w2d

2431

5.30

6.00

6.70

314.

705.

305.

903.

6022

w6d

2432

5.30

6.20

6.70

324.

705.

505.

903.

7023

w4d

2433

5.60

6.40

7.10

335.

005.

606.

203.

8024

w1d

2334

5.70

6.50

7.00

345.

005.

706.

203.

9024

w5d

2335

6.10

6.70

7.30

355.

205.

806.

504.

0025

w2d

2336

6.10

6.90

7.40

365.

306.

006.

304.

1025

w6d

2337

6.40

7.10

7.70

375.

706.

106.

404.

2026

w4d

2438

6.20

7.20

7.90

385.

506.

106.

604.

3027

w1d

2339

6.40

7.40

8.30

395.

606.

206.

904.

4027

w5d

2340

6.60

7.50

8.10

405.

606.

306.

904.

5028

w2d

234.

6028

w6d

234.

7029

w4d

244.

8030

w1d

234.

9030

w5d

245.

0031

w2d

24

MN1-5482 Rev.2 5-107


Tabl

e N

o. 3

1 TI

BTa

ble

No.

32

ULN

ATa

ble

No.

33

Rad

ius

Tabl

e N

o. 3

4 B

PD

(Jea

-95%

) (J

ea-9

5%)

(Jea

-95%

)(C

ampb

ell)

TIB

95%

Dat

a fo

rmU

LNA

95%

Dat

a fo

rmR

adiu

s95

% D

ata

form

BPD

Ges

tatio

nal w

eek

±da

y(w

eek)

5%—

50%

—95

% c

m(w

eek)

5%—

50%

—95

% c

m(w

eek)

5%—

50%

—95

% c

m(c

m)

(age

of f

etus

in w

eeks

)

11--

0.40

--11

--0.

50--

11--

0.50

--2.

4013

12--

0.70

--12

--0.

80--

12--

0.70

--2.

8014

713

0.40

1.00

1.70

130.

301.

101.

8013

--1.

00--

3.20

157

140.

201.

301.

9014

0.40

1.30

1.70

140.

801.

301.

203.

7016

715

0.50

1.60

2.70

151.

001.

602.

2015

1.20

1.50

1.90

4.10

177

160.

701.

902.

5016

0.80

1.90

2.40

160.

901.

802.

104.

4018

717

1.50

2.20

2.90

171.

102.

103.

2017

1.10

2.00

2.90

4.70

198

181.

402.

402.

9018

1.30

2.40

3.00

181.

402.

202.

605.

1020

819

1.90

2.70

3.50

192.

002.

603.

2019

2.00

2.40

2.90

5.40

218

201.

902.

903.

5020

2.10

2.90

3.20

202.

102.

702.

805.

8022

821

2.40

3.20

3.90

212.

503.

103.

6021

2.50

2.90

3.20

6.10

239

222.

503.

403.

9022

2.40

3.30

3.70

222.

403.

103.

406.

4024

923

3.00

3.60

4.30

232.

703.

504.

3023

2.60

3.20

3.90

6.70

259

242.

803.

904.

5024

2.90

3.70

4.10

242.

703.

403.

807.

0026

1025

3.10

4.10

5.00

253.

403.

904.

4025

3.10

3.60

4.00

7.30

2710

263.

304.

304.

9026

3.40

4.10

4.40

263.

003.

704.

107.

5028

1127

3.90

4.50

5.10

273.

704.

304.

8027

3.30

3.90

4.50

7.80

2911

283.

804.

705.

2028

3.70

4.40

4.80

283.

304.

004.

508.

0030

1229

4.00

4.90

5.70

294.

004.

605.

1029

3.60

4.20

4.70

8.30

3113

304.

105.

105.

6030

3.80

4.70

5.40

303.

404.

304.

908.

5032

1431

4.60

5.20

5.80

313.

904.

905.

9031

3.40

4.40

5.30

8.70

3315

324.

605.

405.

9032

4.00

5.00

5.80

323.

704.

505.

108.

9034

1733

4.90

5.60

6.20

334.

305.

206.

0033

4.10

4.60

5.10

9.10

3519

344.

705.

706.

4034

4.40

5.30

5.90

343.

904.

705.

309.

3036

2035

4.80

5.90

6.90

354.

705.

406.

1035

3.80

4.80

5.70

9.50

3721

364.

906.

006.

8036

4.70

5.50

6.10

364.

104.

805.

409.

7038

375.

206.

107.

1037

4.90

5.60

6.20

374.

504.

905.

309.

8039

385.

406.

206.

9038

4.80

5.70

6.30

384.

504.

905.

3010

.00

4039

5.80

6.40

6.90

394.

905.

706.

6039

4.60

5.00

5.40

405.

806.

506.

9040

5.00

5.80

6.50

404.

605.

005.

40

5-108 MN1-5482 Rev.2



Tabl

e N

o. 3

5 H

CTa

ble

No.

36

AC

Tabl

e N

o. 3

7 FL

Tabl

e N

o. 3

8 B

PD

(Cam

pbel

l)(C

ampb

ell)

(Cam

pbel

l)(M

erz)

HC

Ges

tatio

nal w

eek

±da

yA

CG

esta

tiona

l wee

k ±

day

FLG

esta

tiona

l wee

k ±

day

(wee

k)5%

—50

%—

95%

cm(c

m)

(age

of f

etus

in w

eeks

)(c

m)

(age

of f

etus

in w

eeks

)(c

m)

(age

of f

etus

in w

eeks

)13

2.30

2.60

3.00

11.5

014

109.

0014

141.

8015

614

2.50

2.90

3.30

12.6

015

1010

.10

1515

2.20

166

152.

803.

203.

6013

.70

1611

11.2

016

152.

5017

616

3.10

3.50

3.90

14.8

017

1212

.30

1715

2.80

187

173.

503.

904.

3015

.90

1813

13.4

018

153.

0019

718

3.80

4.20

4.60

17.0

019

1414

.50

1915

3.30

207

194.

104.

605.

0018

.10

2015

15.6

020

163.

6021

720

4.50

4.90

5.30

19.2

021

1616

.70

2116

3.90

228

214.

805.

205.

7020

.40

2217

17.8

022

164.

2023

822

5.10

5.60

6.00

21.5

023

1718

.80

2317

4.40

248

235.

405.

906.

4022

.70

2417

19.9

024

184.

7025

924

5.70

6.20

6.70

23.8

025

1721

.00

2519

4.90

2610

256.

106.

507.

0024

.90

2618

22.1

026

195.

2027

1026

6.40

6.80

7.30

26.0

027

1923

.10

2720

5.40

2811

276.

607.

107.

7027

.10

2819

24.2

028

205.

6029

1228

6.90

7.40

7.90

28.1

029

2025

.30

2920

5.80

3013

297.

207.

708.

2029

.00

3021

26.4

030

216.

1031

1430

7.40

8.00

8.50

29.9

031

2227

.50

3122

6.30

3215

317.

708.

208.

8030

.80

3225

28.6

032

226.

5033

1732

7.90

8.50

9.00

31.5

033

2729

.70

3325

6.60

3418

338.

108.

709.

2032

.00

3429

30.8

034

286.

8035

2034

8.30

8.90

9.50

32.5

035

2931

.70

3530

6.90

3622

358.

509.

109.

7033

.00

3630

32.5

036

307.

1037

368.

709.

209.

8033

.50

3730

33.1

037

307.

2038

378.

809.

4010

.00

34.0

038

3533

.80

3830

7.40

3938

8.90

9.50

10.1

034

.30

3934

.40

397.

5040

399.

009.

6010

.30

34.5

040

35.0

040

409.

109.

7010

.30

419.

109.

8010

.40

MN1-5482 Rev.2 5-109


Tabl

e N

o. 3

9 O

FDTa

ble

No.

40

HC

Tabl

e N

o. 4

1 TT

DTa

ble

No.

42

AP

TD(M

erz)

(Mer

z)(M

erz)

(Mer

z)(w

eek)

5%—

50%

—95

%cm

(wee

k)5%

—50

%—

95%

cm(w

eek)

5%—

50%

—95

%cm

(wee

k)5%

—50

%—

95%

cm13

2.80

3.20

3.60

138.

409.

6010

.80

131.

802.

202.

6013

1.70

2.10

2.50

143.

103.

504.

0014

9.40

10.6

011

.90

142.

102.

502.

9014

2.00

2.40

2.80

153.

503.

904.

3015

10.5

011

.80

13.0

015

2.50

2.90

3.30

152.

302.

803.

2016

3.90

4.30

4.80

1611

.70

13.0

014

.30

162.

803.

203.

7016

2.70

3.10

3.60

174.

304.

705.

2017

13.0

014

.30

15.6

017

3.10

3.60

4.00

173.

003.

503.

9018

4.70

5.20

5.60

1814

.20

15.5

016

.80

183.

503.

904.

4018

3.30

3.80

4.30

195.

105.

606.

1019

15.5

016

.80

18.1

019

3.80

4.30

4.80

193.

704.

204.

7020

5.60

6.00

6.50

2016

.70

18.1

019

.40

204.

104.

605.

1020

4.00

4.50

5.00

216.

006.

506.

9021

18.0

019

.30

20.7

021

4.40

5.00

5.50

214.

304.

805.

4022

6.40

6.90

7.40

2219

.20

20.6

022

.00

224.

805.

305.

8022

4.60

5.20

5.70

236.

807.

307.

8023

20.4

021

.80

23.2

023

5.10

5.60

6.20

235.

005.

506.

1024

7.20

7.70

8.20

2421

.60

23.0

024

.40

245.

406.

006.

5024

5.30

5.90

6.40

257.

508.

108.

6025

22.7

024

.10

25.6

025

5.70

6.30

6.90

255.

606.

206.

8026

7.90

8.40

9.00

2623

.80

25.3

026

.70

266.

006.

607.

2026

5.90

6.50

7.10

278.

208.

809.

3027

24.8

026

.30

27.8

027

6.30

7.00

7.60

276.

206.

807.

5028

8.60

9.10

9.70

2825

.80

27.3

028

.90

286.

707.

307.

9028

6.50

7.20

7.80

298.

909.

4010

.00

2926

.80

28.3

029

.90

297.

007.

608.

3029

6.80

7.50

8.10

309.

209.

7010

.30

3027

.70

29.2

030

.80

307.

307.

908.

6030

7.10

7.80

8.50

319.

4010

.00

10.6

031

28.2

030

.10

31.7

031

7.60

8.20

8.90

317.

408.

108.

8032

9.70

10.2

010

.80

3229

.30

30.9

032

.50

327.

808.

509.

2032

7.70

8.40

9.10

339.

9010

.50

11.1

033

30.0

031

.60

33.3

033

8.10

8.80

9.60

338.

008.

709.

4034

10.1

010

.70

11.3

034

30.7

032

.30

34.0

034

8.40

9.10

9.90

348.

309.

009.

7035

10.3

010

.90

11.5

035

31.3

032

.90

34.6

035

8.70

9.40

10.2

035

8.50

9.30

10.0

036

10.4

011

.00

11.6

036

31.8

033

.50

35.2

036

8.90

9.70

10.5

036

8.80

9.60

10.3

037

10.5

011

.20

11.8

037

32.2

033

.90

35.6

037

9.20

10.0

010

.80

379.

009.

8010

.60

3810

.60

11.3

011

.90

3832

.60

34.3

036

.10

389.

4010

.20

11.0

038

9.30

10.1

010

.90

3910

.70

11.4

012

.00

3932

.90

34.6

036

.40

399.

7010

.50

11.3

039

9.50

10.3

011

.10

4010

.80

11.4

012

.10

4033

.10

34.9

036

.60

409.

9010

.70

11.6

040

9.70

10.6

011

.40

4110

.80

11.5

012

.10

4133

.20

35.0

036

.80

4110

.10

10.9

011

.80

419.

9010

.80

11.6

0

5-110 MN1-5482 Rev.2



Tabl

e N

o. 4

3 A

CTa

ble

No.

44

FLTa

ble

No.

45

TIB

Tabl

e N

o. 4

6 FI

B(M

erz)

(Mer

z)(M

erz)

(Mer

z)(w

eek)

5%—

50%

—95

%cm

(wee

k)5%

—50

%—

95%

cm(w

eek)

5%—

50%

—95

%cm

(wee

k)5%

—50

%—

95%

cm13

5.50

6.70

8.00

130.

801.

101.

4013

0.60

0.90

1.20

130.

500.

801.

1014

6.50

7.80

9.10

141.

101.

501.

8014

0.90

1.20

1.50

140.

801.

101.

4015

7.60

8.90

10.2

015

1.50

1.80

2.10

151.

201.

501.

8015

1.10

1.40

1.70

168.

6010

.00

11.4

016

1.80

2.10

2.50

161.

501.

802.

1016

1.40

1.70

2.00

179.

6011

.10

12.5

017

2.10

2.40

2.80

171.

802.

102.

4017

1.70

2.00

2.30

1810

.70

12.2

013

.60

182.

402.

703.

1018

2.10

2.40

2.70

181.

902.

302.

6019

11.7

013

.20

14.8

019

2.70

3.00

3.40

192.

302.

603.

0019

2.20

2.50

2.90

2012

.70

14.3

015

.90

202.

903.

303.

7020

2.60

2.90

3.20

202.

402.

803.

1021

13.8

015

.40

17.0

021

3.20

3.60

4.00

212.

803.

103.

5021

2.70

3.00

3.40

2214

.80

16.5

018

.10

223.

503.

904.

2022

3.00

3.40

3.70

222.

903.

303.

6023

15.8

017

.50

19.3

023

3.70

4.10

4.50

233.

303.

604.

0023

3.10

3.50

3.80

2416

.80

18.6

020

.40

244.

004.

404.

8024

3.50

3.80

4.20

243.

303.

704.

1025

17.8

019

.60

21.5

025

4.20

4.60

5.00

253.

704.

104.

4025

3.50

3.90

4.30

2618

.80

20.7

022

.60

264.

504.

905.

3026

3.90

4.30

4.70

263.

804.

104.

5027

19.8

021

.70

23.6

027

4.70

5.10

5.50

274.

104.

504.

9027

3.90

4.30

4.70

2820

.70

22.7

024

.70

284.

905.

305.

8028

4.30

4.70

5.10

284.

104.

504.

9029

21.7

023

.70

25.7

029

5.10

5.60

6.00

294.

504.

905.

3029

4.30

4.70

5.10

3022

.50

24.7

026

.80

305.

305.

806.

2030

4.60

5.10

5.50

304.

504.

905.

3031

23.5

025

.70

27.8

031

5.50

6.00

6.40

314.

805.

205.

6031

4.70

5.10

5.50

3224

.40

26.6

028

.80

325.

706.

206.

7032

5.00

5.40

5.80

324.

805.

205.

7033

25.3

027

.60

29.8

033

5.90

6.40

6.90

335.

105.

606.

0033

5.00

5.40

5.80

3426

.20

28.5

030

.80

346.

106.

607.

1034

5.30

5.70

6.20

345.

105.

606.

0035

27.0

029

.40

31.7

035

6.30

6.80

7.30

355.

405.

906.

3035

5.30

5.70

6.10

3627

.90

30.3

032

.70

366.

507.

007.

4036

5.60

6.00

6.50

365.

405.

806.

3037

28.7

031

.10

33.6

037

6.60

7.10

7.60

375.

706.

206.

6037

5.50

6.00

6.40

3829

.40

31.9

034

.40

386.

807.

307.

8038

5.80

6.30

6.70

385.

606.

106.

5039

30.1

032

.70

35.2

039

6.90

7.40

7.90

395.

906.

406.

9039

5.70

6.20

6.60

4030

.80

33.4

036

.00

407.

107.

608.

1040

6.00

6.50

7.00

405.

806.

306.

7041

31.4

034

.10

36.7

041

7.20

7.70

8.20

416.

106.

607.

1041

5.90

6.30

6.80

MN1-5482 Rev.2 5-111


Tabl

e N

o. 4

7 H

LTa

ble

No.

48

RA

DTa

ble

No.

49

ULN

A(M

erz)

(Mer

z)(M

erz)

(wee

k)5%

—50

%—

95%

cm(w

eek)

5%—

50%

—95

%cm

(wee

k)5%

—50

%—

95%

cm13

0.70

1.00

1.30

130.

300.

600.

9013

0.50

0.80

1.10

141.

001.

301.

7014

0.60

1.00

1.30

140.

801.

101.

4015

1.40

1.70

2.00

151.

001.

301.

6015

1.20

1.50

1.80

161.

702.

002.

3016

1.20

1.60

1.90

161.

501.

802.

1017

2.00

2.30

2.60

171.

501.

802.

2017

1.70

2.10

2.40

182.

202.

602.

9018

1.70

2.10

2.40

182.

002.

302.

7019

2.50

2.80

3.20

192.

002.

302.

6019

2.30

2.60

2.90

202.

703.

103.

4020

2.20

2.50

2.90

202.

502.

803.

2021

3.00

3.30

3.70

212.

402.

803.

1021

2.70

3.10

3.40

223.

203.

603.

9022

2.60

3.00

3.30

223.

003.

303.

7023

3.40

3.80

4.20

232.

803.

203.

5023

3.20

3.50

3.90

243.

704.

004.

4024

3.00

3.30

3.70

243.

403.

704.

1025

3.90

4.20

4.60

253.

203.

503.

9025

3.60

3.90

4.30

264.

104.

504.

8026

3.30

3.70

4.10

263.

804.

104.

5027

4.30

4.70

5.00

273.

503.

904.

2027

4.00

4.30

4.70

284.

504.

805.

2028

3.60

4.00

4.40

284.

204.

504.

9029

4.60

5.00

5.40

293.

804.

204.

5029

4.30

4.70

5.10

304.

805.

205.

6030

3.90

4.30

4.70

304.

504.

905.

2031

5.00

5.40

5.80

314.

104.

404.

8031

4.60

5.00

5.40

325.

105.

506.

0032

4.20

4.60

5.00

324.

805.

205.

6033

5.30

5.70

6.10

334.

304.

705.

1033

4.90

5.30

5.70

345.

405.

906.

3034

4.40

4.80

5.20

345.

105.

505.

9035

5.60

6.00

6.40

354.

504.

905.

3035

5.20

5.60

6.00

365.

706.

106.

6036

4.60

5.00

5.40

365.

305.

706.

1037

5.80

6.30

6.70

374.

705.

105.

5037

5.40

5.80

6.30

385.

906.

406.

8038

4.80

5.20

5.60

385.

505.

906.

4039

6.00

6.50

6.90

394.

905.

305.

7039

5.60

6.00

6.50

406.

106.

607.

0040

4.90

5.30

5.80

405.

706.

106.

6041

6.20

6.60

7.10

415.

005.

405.

8041

5.80

6.20

6.60

5-112 MN1-5482 Rev.2



Tabl

e N

o. 5

0 B

PD

Tabl

e N

o. 5

1 A ×

T(S

hino

zuka

)(S

hino

zuka

)G

esta

tiona

l wee

kG

esta

tiona

l wee

kG

esta

tiona

l wee

kG

esta

tiona

l wee

kG

esta

tiona

l wee

k(c

m)

(age

of f

etus

in w

eeks

) ±

day

(cm

)(a

ge o

f fet

us in

wee

ks)

±da

y(c

m)

(age

of f

etus

in w

eeks

) ±

day

(cm

2)(a

ge o

f fet

us in

wee

ks)

±da

y(c

m2)

(age

of f

etus

in w

eeks

) ±

day

1.3

10w

1d4

4.5

19w

4d6

7.7

30w

6d12

10.0

16w

1d8

72.0

34w

2d16

1.4

10w

3d4

4.6

20w

0d7

7.8

31w

2d12

12.0

17w

0d8

74.0

34w

6d17

1.5

10w

5d4

4.7

20w

2d7

7.9

31w

5d12

14.0

17w

6d8

76.0

35w

3d17

1.6

11w

0d4

4.8

20w

4d7

8.0

32w

1d12

16.0

18w

4d8

78.0

35w

6d17

1.7

11w

2d4

4.9

20w

6d7

8.1

32w

5d12

18.0

19w

3d8

80.0

36w

3d18

1.8

11w

4d4

5.0

21w

1d7

8.2

33w

1d13

20.0

20w

1d8

82.0

37w

0d18

1.9

11w

6d4

5.1

21w

3d7

8.3

33w

5d13

22.0

20w

6d9

84.0

37w

4d18

2.0

12w

1d4

5.2

21w

6d7

8.4

34w

2d13

24.0

21w

4d9

86.0

38w

1d18

2.1

12w

3d4

5.3

22w

1d8

8.5

34w

6d13

26.0

22w

2d9

88.0

38w

5d19

2.2

12w

6d4

5.4

22w

3d8

8.6

35w

3d14

28.0

22w

6d9

90.0

39w

2d19

2.3

13w

1d5

5.5

22w

5d8

8.7

36w

0d14

30.0

23w

4d9

2.4

13w

3d5

5.6

23w

1d8

8.8

36w

5d14

32.0

24w

1d10

2.5

13w

5d5

5.7

23w

3d8

8.9

37w

4d14

34.0

24w

5d10

2.6

14w

0d5

5.8

23w

5d8

9.0

38w

3d15

36.0

25w

2d10

2.7

14w

2d5

5.9

24w

1d8

38.0

25w

6d10

2.8

14w

4d5

6.0

24w

3d9

40.0

26w

3d11

2.9

14w

6d5

6.1

24w

5d9

42.0

27w

0d11

3.0

15w

1d5

6.2

25w

1d9

44.0

27w

3d11

3.1

15w

3d5

6.3

25w

3d9

46.0

28w

0d12

3.2

15w

5d5

6.4

25w

5d9

48.0

28w

4d12

3.3

16w

0d5

6.5

26w

1d9

50.0

29w

0d12

3.4

16w

2d5

6.6

26w

3d10

52.0

29w

3d13

3.5

16w

4d5

6.7

26w

6d10

54.0

30w

0d13

3.6

16w

6d6

6.8

27w

2d10

56.0

30w

3d13

3.7

17w

1d6

6.9

27w

4d10

58.0

31w

0d14

3.8

17w

4d6

7.0

28w

0d10

60.0

31w

3d14

3.9

17w

6d6

7.1

28w

3d10

62.0

31w

6d14

4.0

18w

1d6

7.2

28w

5d11

64.0

32w

3d15

4.1

18w

3d6

7.3

29w

1d11

66.0

32w

6d15

4.2

18w

5d6

7.4

29w

4d11

68.0

33w

3d15

4.3

19w

0d6

7.5

30w

0d11

70.0

33w

6d16

4.4

19w

2d6

7.6

30w

3d11

MN1-5482 Rev.2 5-113


Tabl

e N

o. 5

2 A

CTa

ble

No.

53

FL(S

hino

zuka

)(S

hino

zuka

)G

esta

tiona

l wee

k ±

day

Ges

tatio

nal w

eek

±da

yFL

Ges

tatio

nal w

eek

±da

yFL

Ges

tatio

nal w

eek

±da

y(c

m)

(age

of f

etus

in w

eeks

)(c

m)

(age

of f

etus

in w

eeks

)(c

m)

(age

of f

etus

in w

eeks

)(c

m)

(age

of f

etus

in w

eeks

)

10.0

15w

3d8

26.0

31w

6d13

2.0

16w

1d6

5.1

28w

5d10

10.5

16w

0d8

26.5

32w

3d13

2.1

16w

3d6

5.2

29w

2d11

11.0

16w

4d8

27.0

33w

1d13

2.2

16w

6d6

5.3

29w

5d11

11.5

17w

0d8

27.5

33w

5d14

2.3

17w

1d7

5.4

30w

2d11

12.0

17w

4d9

28.0

34w

2d14

2.4

17w

3d7

5.5

30w

5d11

12.5

18w

0d9

28.5

35w

0d14

2.5

17w

6d7

5.6

31w

2d11

13.0

18w

4d9

29.0

35w

4d14

2.6

18w

1d7

5.7

31w

6d11

13.5

19w

0d9

29.5

36w

2d14

2.7

18w

3d7

5.8

32w

3d11

14.0

19w

4d9

30.0

37w

0d14

2.8

18w

6d7

5.9

33w

0d12

14.5

20w

0d9

30.5

37w

5d14

2.9

19w

1d7

6.0

33w

3d12

15.0

20w

3d10

31.0

38w

2d15

3.0

19w

4d8

6.1

34w

0d12

15.5

21w

0d10

31.5

29w

0d15

3.1

20w

0d8

6.2

34w

4d12

16.0

21w

3d10

32.0

39w

6d15

3.2

20w

2d8

6.3

35w

1d12

16.5

22w

0d10

32.5

40w

4d15

3.3

20w

5d8

6.4

35w

5d12

17.0

22w

3d10

33.0

41w

2d15

3.4

21w

1d8

6.5

36w

2d12

17.5

22w

6d10

3.5

21w

3d8

6.6

37w

0d12

18.0

23w

3d11

3.6

21w

6d8

6.7

37w

4d13

18.5

23w

6d11

3.7

22w

2d9

6.8

38w

1d13

19.0

24w

3d11

3.8

22w

5d9

6.9

38w

5d13

19.5

24w

6d11

3.9

23w

1d9

7.0

39w

3d13

20.0

25w

3d11

4.0

23w

3d9

20.5

25w

6d11

4.1

24w

0d9

21.0

26w

3d12

4.2

24w

3d9

21.5

27w

0d12

4.3

24w

6d9

22.0

27w

3d12

4.4

25w

3d9

22.5

28w

0d12

4.5

25w

6d10

23.0

28w

4d12

4.6

26w

2d10

23.5

29w

0d12

4.7

26w

5d10

24.0

29w

4d13

4.8

27w

2d10

24.5

30w

1d13

4.9

27w

5d10

25.0

30w

5d13

5.0

28w

2d10

25.5

31w

2d13

5-114 MN1-5482 Rev.2



Tabl

e N

o. 5

4 C

RL

Tabl

e N

o. 5

5 B

PD

Tabl

e N

o. 5

6 O

FDTa

ble

No.

57

HC

(Han

sman

n)(H

ansm

ann)

(Han

sman

n)(H

ansm

ann)

CR

LG

esta

tiona

l wee

k ±

day

BPD

Ges

tatio

nal w

eek

±da

yO

FDG

esta

tiona

l wee

k ±

day

HC

Ges

tatio

nal w

eek

±da

y(c

m)

(age

of f

etus

in w

eeks

)(c

m)

(age

of f

etus

in w

eeks

)(c

m)

(age

of f

etus

in w

eeks

)(c

m)

(age

of f

etus

in w

eeks

)

1.10

72.

0012

83.

1014

1010

.60

148

1.30

89

2.40

138

3.80

159

11.5

015

81.

809

92.

8014

84.

1016

812

.70

168

2.60

108

3.20

158

4.60

178

14.0

017

83.

6011

83.

5016

85.

0018

815

.20

188

4.70

128

3.80

178

5.40

199

16.4

019

96.

0013

84.

2018

95.

8020

917

.60

209

7.30

149

4.60

199

6.30

2110

19.0

021

98.

6015

94.

9020

96.

7022

1020

.30

229

9.70

168

5.20

2110

7.20

2311

21.5

023

1011

.00

178

5.60

2211

7.60

2412

22.6

024

1012

.00

188

5.90

2312

8.00

2514

24.0

025

1113

.00

198

6.20

2412

8.40

2615

25.1

026

1214

.00

209

6.50

2513

8.80

2716

26.3

027

1315

.00

2111

6.80

2614

9.10

2817

27.4

028

1416

.10

2211

7.10

2715

9.50

2919

28.4

029

1517

.50

2311

7.40

2816

9.80

3021

29.3

030

177.

7029

1810

.00

3123

30.3

031

208.

0030

2010

.30

3226

31.1

032

228.

2031

2110

.50

3332

31.8

033

238.

5032

2310

.70

3432

32.5

034

278.

7033

2510

.90

3532

33.2

035

318.

9034

2711

.10

3632

33.7

036

319.

1035

3011

.20

3732

34.0

037

319.

3036

3011

.30

3832

34.4

038

319.

5037

3011

.40

3935

34.7

039

319.

6038

3011

.50

4039

34.9

040

359.

8039

309.

9040

3010

.00

4130

10.1

042

30

MN1-5482 Rev.2 5-115


Tabl

e N

o. 5

8 TT

D

Tabl

e N

o. 5

9 A

CTa

ble

No.

60

HL

Tabl

e N

o. 6

1 FL

(Han

sman

n)(H

ansm

ann)

(Han

sman

n)(H

ansm

ann)

TTD

Ges

tatio

nal w

eek

±da

yA

CG

esta

tiona

l wee

kH

LG

esta

tiona

l wee

k ±

day

FLG

esta

tiona

l wee

k ±

day

(cm

)(a

ge o

f fet

us in

wee

ks)

(cm

)(a

ge o

f fet

us in

wee

ks)

(cm

)(a

ge o

f fet

us in

wee

ks)

(cm

)(a

ge o

f fet

us in

wee

ks)

1.70

127

5.30

121.

1013

191.

0013

2.00

137

6.30

131.

4014

191.

2014

72.

4014

77.

5014

1.70

1519

1.60

157

2.70

158

8.50

152.

0016

201.

8016

83.

1016

89.

7016

2.30

1719

2.20

179

3.40

179

10.7

017

2.50

1819

2.50

1810

3.70

189

11.6

018

2.80

1920

2.80

1910

4.00

1910

12.6

019

3.00

2019

3.10

2011

4.40

2011

13.5

020

3.30

2119

3.40

2111

4.70

2112

14.5

021

3.50

2220

3.60

2212

5.00

2213

15.5

022

3.70

2320

3.90

2313

5.30

2314

16.5

023

3.90

2419

4.10

2414

5.60

2415

17.3

024

4.10

2520

4.40

2514

5.90

2515

18.3

025

4.30

2620

4.70

2615

6.20

2616

19.1

026

4.50

2720

4.90

2715

6.50

2717

20.2

027

4.70

2820

5.10

2816

6.90

2817

21.1

028

4.90

2920

5.40

2916

7.20

2918

22.2

029

5.10

3020

5.60

3017

7.40

3019

23.0

030

5.30

3120

5.90

3118

7.80

3120

24.0

031

5.50

3220

6.10

3219

8.10

3221

24.9

032

5.70

3320

6.30

3320

8.30

3322

25.8

033

5.90

3419

6.50

3421

8.60

3425

26.8

034

6.10

3520

6.70

3522

8.90

3528

27.7

035

6.30

3619

6.90

3623

9.20

3631

28.7

036

6.50

3720

7.10

3723

9.40

3731

29.6

037

6.70

3820

7.30

3823

9.70

3831

30.6

038

6.90

3919

7.40

3923

9.90

3931

31.5

039

7.50

4023

10.1

040

3132

.00

4010

.30

4131

10.5

042

33

5-116 MN1-5482 Rev.2



Tabl

e N

o. 6

2 m

GS

Tabl

e N

o. 6

3 C

RL

(Rem

pen)

(Rem

pen)

mG

SG

esta

tiona

l wee

k ±

day

GS

Ges

tatio

nal w

eek

±da

yC

RL

Ges

tatio

nal w

eek

±da

yC

RL

Ges

tatio

nal w

eek

±da

y(c

m)

(age

of f

etus

in w

eeks

)(c

m)

(age

of f

etus

in w

eeks

)(c

m)

(age

of f

etus

in w

eeks

)(c

m)

(age

of f

etus

in w

eeks

)0.

204w

6d10

d3.

809w

1d10

d0.

206w

0d6d

4.20

10w

6d6d

0.30

5w0d

10d

3.90

9w2d

10d

0.30

6w1d

6d4.

3011

w0d

6d0.

405w

1d10

d4.

009w

3d10

d0.

406w

2d6d

4.40

11w

0d6d

0.50

5w2d

10d

4.10

9w4d

10d

0.50

6w3d

6d4.

5011

w1d

6d0.

605w

2d10

d4.

209w

5d10

d0.

606w

4d6d

4.60

11w

2d6d

0.70

5w3d

10d

4.30

9w6d

10d

0.70

6w5d

6d4.

7011

w2d

6d0.

805w

4d10

d4.

409w

6d10

d0.

806w

6d6d

4.80

11w

3d6d

0.90

5w5d

10d

4.50

10w

0d10

d0.

907w

0d6d

4.90

11w

4d6d

1.00

5w5d

10d

4.60

10w

1d10

d1.

007w

1d6d

5.00

11w

4d6d

1.10

5w6d

10d

4.70

10w

2d10

d1.

107w

2d6d

5.10

11w

5d6d

1.20

6w0d

10d

4.80

10w

3d10

d1.

207w

3d6d

5.20

11w

5d6d

1.30

6w1d

10d

4.90

10w

4d10

d1.

307w

4d6d

5.30

11w

6d6d

1.40

6w2d

10d

5.00

10w

5d10

d1.

407w

5d6d

5.40

12w

0d6d

1.50

6w2d

10d

5.10

10w

6d10

d1.

507w

6d6d

5.50

12w

0d6d

1.60

6w3d

10d

5.20

11w

0d10

d1.

607w

6d6d

5.60

12w

1d6d

1.70

6w4d

10d

5.30

11w

1d10

d1.

708w

0d6d

5.70

12w

1d6d

1.80

6w5d

10d

5.40

11w

2d10

d1.

808w

1d6d

5.80

12w

2d6d

1.90

6w6d

10d

5.50

11w

3d10

d1.

908w

2d6d

5.90

12w

3d6d

2.00

6w6d

10d

5.60

11w

4d10

d2.

008w

3d6d

6.00

12w

3d6d

2.10

7w0d

10d

5.70

11w

5d10

d2.

108w

4d6d

6.10

12w

4d6d

2.20

7w1d

10d

5.80

11w

6d10

d2.

208w

5d6d

6.20

12w

4d6d

2.30

7w2d

10d

5.90

12w

0d10

d2.

308w

5d6d

6.30

12w

5d6d

2.40

7w3d

10d

6.00

12w

1d10

d2.

408w

6d6d

6.40

12w

5d6d

2.50

7w4d

10d

6.10

12w

2d10

d2.

509w

0d6d

6.50

12w

6d6d

2.60

7w4d

10d

6.20

12w

3d10

d2.

609w

1d6d

6.60

12w

6d6d

2.70

7w5d

10d

6.30

12w

4d10

d2.

709w

2d6d

6.70

13w

0d6d

2.80

7w6d

10d

6.40

12w

5d10

d2.

809w

3d6d

6.80

13w

0d6d

2.90

8w0d

10d

6.50

12w

6d10

d2.

909w

3d6d

6.90

13w

1d6d

3.00

8w1d

10d

6.60

13w

0d10

d3.

009w

4d6d

7.00

13w

1d6d

3.10

8w2d

10d

6.70

13w

1d10

d3.

109w

5d6d

7.10

13w

2d6d

3.20

8w3d

10d

6.80

13w

2d10

d3.

209w

6d6d

7.20

13w

2d6d

3.30

8w3d

10d

6.90

13w

3d10

d3.

309w

6d6d

7.30

13w

3d6d

3.40

8w4d

10d

7.00

13w

4d10

d3.

4010

w0d

6d7.

4013

w3d

6d3.

508w

5d10

d7.

1013

w5d

10d

3.50

10w

1d6d

7.50

13w

4d6d

3.60

8w6d

10d

7.20

14w

0d10

d3.

6010

w2d

6d7.

6013

w4d

6d3.

709w

0d10

d7.

3014

w1d

10d

3.70

10w

2d6d

7.70

13w

4d6d

3.80

10w

3d6d

7.80

13w

5d6d

3.90

10w

4d6d

4.00

10w

5d6d

4.10

10w

5d6d

MN1-5482 Rev.2 5-117


Tabl

e N

o. 6

4 BP

DTa

ble

No.

65

TCTa

ble

No.

66

TL(R

empe

n)(C

hitk

ara

U)

(Chi

tkar

a U

)B

PDG

esta

tiona

l wee

k ±

day

(wee

k)10

%—

50%

—90

%cm

(wee

k)10

%—

50%

—90

%cm

(cm

)(a

ge o

f fet

us in

wee

ks)

167

9.1

11.3

161.

32

2.8

0.30

6w6d

817

7.9

1012

.217

1.5

2.2

30.

407w

1d8

188.

811

13.1

181.

72.

43.

20.

507w

3d8

199.

711

.914

191.

82.

73.

40.

607w

5d8

2010

.612

.815

202

2.8

3.6

0.70

8w0d

821

11.6

13.7

15.8

212.

23

3.7

0.80

8w2d

822

12.5

14.6

16.7

222.

43.

23.

90.

908w

4d8

2313

.415

.517

.623

2.6

3.4

4.1

1.00

8w6d

824

14.3

16.4

18.5

242.

83.

54.

31.

109w

1d8

2515

.217

.319

.425

33.

74.

51.

209w

3d8

2616

.118

.220

.326

3.2

3.9

4.7

1.30

9w5d

827

1719

.121

.327

3.3

4.1

4.9

1.40

10w

0d8

2817

.920

22.2

283.

54.

35

1.50

10w

2d8

2918

.821

23.1

293.

74.

55.

21.

6010

w4d

830

19.7

21.9

2430

3.9

4.7

5.4

1.70

10w

6d8

3120

.622

.824

.931

4.1

4.9

5.6

1.80

11w

1d8

3221

.523

.725

.832

4.3

55.

81.

9011

w3d

833

22.5

24.6

26.7

334.

55.

26

2.00

11w

5d8

3423

.425

.527

.634

4.7

5.4

6.2

2.10

12w

0d8

3524

.326

.428

.535

4.8

5.6

6.4

2.20

12w

2d8

3625

.227

.329

.436

55.

86.

52.

3012

w4d

837

26.1

28.2

30.3

375.

26

6.7

2.40

12w

6d8

3827

29.1

31.2

385.

46.

26.

92.

5013

w1d

839

27.9

3032

.239

5.6

6.4

7.1

2.60

13w

3d8

4028

.830

.933

.140

5.8

6.5

7.3

2.70

13w

5d8

5-118 MN1-5482 Rev.2



Tabl

e N

o. 6

7 B

PD

Tabl

e N

o. 6

8 B

PD

(Kur

tz)

(Sab

bagh

a)B

PDG

esta

tiona

l wee

k ±

day

BPD

Ges

tatio

nal w

eek

±da

yB

PDG

esta

tiona

l wee

k ±

day

BPD

Ges

tatio

nal w

eek

±da

y(c

m)

(age

of f

etus

in w

eeks

)(c

m)

(age

of f

etus

in w

eeks

)(c

m)

(age

of f

etus

in w

eeks

)(c

m)

(age

of f

etus

in w

eeks

)2.

0012

w0d

06.

0023

w6d

123.

5016

w0d

96.

6026

w0d

162.

1012

w0d

06.

1024

w1d

123.

6016

w2d

126.

7026

w2d

162.

2012

w5d

46.

2024

w4d

113.

7016

w5d

166.

8026

w5d

172.

3013

w0d

46.

3024

w6d

113.

8017

w0d

146.

9027

w0d

162.

4013

w1d

46.

4025

w2d

113.

9017

w2d

147.

0027

w2d

182.

5013

w4d

46.

5025

w4d

114.

0017

w5d

127.

1027

w5d

172.

6013

w5d

46.

6026

w0d

114.

1018

w0d

147.

2027

w5d

212.

7014

w0d

46.

7026

w3d

104.

2018

w2d

147.

3028

w0d

212.

8014

w2d

56.

8026

w5d

104.

3018

w5d

147.

4028

w2d

242.

9014

w4d

56.

9027

w1d

94.

4019

w0d

147.

5028

w5d

233.

0014

w6d

57.

0027

w4d

84.

5019

w2d

147.

6029

w0d

263.

1015

w1d

67.

1027

w6d

84.

6019

w5d

147.

7029

w5d

233.

2015

w2d

67.

2028

w2d

84.

7020

w0d

147.

8030

w0d

213.

3015

w4d

67.

3028

w5d

84.

8020

w2d

147.

9030

w2d

213.

4015

w6d

67.

4029

w1s

d7

4.90

20w

5d14

8.00

30w

5d23

3.50

16w

1d7

7.50

29w

4d7

5.00

21w

0d14

8.10

31w

0d23

3.60

16w

3d7

7.60

30w

0d7

5.10

21w

2d14

8.20

31w

2d26

3.70

16w

5d8

7.70

30w

2d8

5.20

21w

5d14

8.30

32w

0d26

3.80

17w

0d8

7.80

30w

4d8

5.30

21w

5d12

8.40

32w

2d26

3.90

17w

2d8

7.90

31w

1d10

5.40

22w

0d12

8.50

33w

0d26

4.00

17w

4d8

8.00

31w

4d10

5.50

22w

2d12

8.60

33w

2d28

4.10

17w

6d10

8.10

32w

1d10

5.60

22w

5d12

8.70

34w

0d30

4.20

18w

1d12

8.20

32w

4d10

5.70

23w

0d12

8.80

34w

2d30

4.30

18w

3d13

8.30

33w

0d11

5.80

23w

2d14

8.90

35w

2d30

4.40

18w

6d13

8.40

33w

3d12

5.90

23w

5d14

9.00

35w

5d28

4.50

19w

1d15

8.50

34w

0d12

6.00

24w

0d16

9.10

36w

2d28

4.60

19w

3d14

8.60

34w

2d13

6.10

24w

2d16

9.20

36w

2d23

4.70

19w

5d13

8.70

35w

0d11

6.20

24w

5d17

9.30

36w

5d21

4.80

20w

0d13

8.80

35w

3d12

6.30

25w

0d16

9.40

37w

0d19

4.90

20w

2d12

8.90

36w

1d12

6.40

25w

2d14

9.50

37w

2d19

5.00

20w

4d11

9.00

36w

4d12

6.50

25w

5d14

5.10

20w

6d11

9.10

37w

1d9

5.20

21w

1d12

9.20

37w

6d8

5.30

21w

4d12

9.30

38w

2d7

5.40

21w

6d13

9.40

39w

0d8

5.50

22w

1d13

9.50

39w

5d8

5.60

22w

4d13

9.60

40w

2d8

5.70

22w

6d12

9.70

41w

0d8

5.80

23w

1d12

9.80

41w

6d9

5.90

23w

4d11

MN1-5482 Rev.2 5-119


Tabl

e N

o. 6

9 C

DTa

ble

No.

70 C

DTa

ble

No.

71

EES

(Hill

)(G

olds

tein

)(G

olds

tein

)C

DG

esta

tiona

l wee

k ±

day

CD

Ges

tatio

nal w

eek

±da

yC

DG

esta

tiona

l wee

k(c

m)

(age

of f

etus

in w

eeks

)(c

m)

(age

of f

etus

in w

eeks

)(w

eek)

10%

—50

%—

90%

cm(c

m)

(age

of f

etus

in w

eeks

) ±

day

1.40

15w

1d7

5.00

36w

5d22

151.

001.

401.

600.

16w

1d3

1.50

15w

5d7

5.10

37w

1d22

161.

401.

601.

700.

26w

2d3

1.60

16w

4d7

5.20

37w

4d22

171.

601.

701.

800.

36w

3d3

1.70

17w

1d7

5.30

37w

5d22

181.

701.

801.

900.

46w

4d3

1.80

17w

6d7

5.40

38w

0d22

191.

801.

902.

200.

56w

5d3

1.90

18w

4d13

5.50

38w

2d22

201.

802.

002.

200.

66w

6d3

2.00

19w

2d13

5.60

38w

4d22

211.

902.

202.

400.

77w

0d3

2.10

20w

0d13

222.

102.

302.

400.

87w

1d3

2.20

20w

5d13

232.

202.

402.

600.

97w

2d3

2.30

21w

3d13

242.

202.

502.

801.

07w

3d3

2.40

22w

1d13

252.

302.

802.

901.

17w

4d3

2.50

22w

5d13

262.

502.

903.

201.

27w

5d3

2.60

23w

4d13

272.

603.

003.

201.

37w

6d3

2.70

24w

1d14

282.

703.

103.

401.

48w

0d3

2.80

24w

6d14

292.

903.

403.

801.

58w

1d3

2.90

25w

4d14

303.

103.

504.

001.

68w

2d3

3.00

26w

1d14

313.

203.

804.

301.

78w

3d3

3.10

26w

6d14

323.

303.

804.

201.

88w

4d3

3.20

27w

4d14

333.

204.

004.

401.

98w

5d3

3.30

28w

1d14

343.

304.

004.

402.

08w

6d3

3.40

28w

5d14

353.

104.

054.

702.

19w

0d3

3.50

29w

3d14

363.

604.

305.

502.

29w

1d3

3.60

30w

0d17

373.

704.

505.

502.

39w

2d3

3.70

30w

4d17

384.

004.

855.

502.

49w

3d3

3.80

31w

1d17

395.

205.

205.

502.

59w

4d3

3.90

31w

5d17

4.00

32w

2d17

4.10

32w

5d17

4.20

33w

3d17

4.30

33w

6d17

4.40

34w

3d17

4.50

34w

5d17

4.60

35w

2d17

4.70

35w

5d17

4.80

36w

1d22

4.90

36w

4d22

5-120 MN1-5482 Rev.2



Tabl

e N

o. 7

2 m

GS

Tabl

e N

o. 7

3 C

RL

(Hel

lman

)(R

obin

son)

Ges

tatio

nal w

eek

Ges

tatio

nal w

eek

CR

LG

esta

tiona

l wee

k ±

day

mG

S(a

ge o

f fet

us in

wee

ks)

±da

yG

S(a

ge o

f fet

us in

wee

ks)

±da

y(c

m)

(age

of f

etus

in w

eeks

)

(cm

)in

wee

ks)

(cm

)in

wee

ks)

0.60

6w2d

51.

005w

0d4.

6010

w1d

0.80

6w5d

51.

105w

1d4.

7010

w2d

1.00

7w1d

51.

205w

2d4.

8010

w3d

1.20

7w4d

51.

305w

3d4.

9010

w4d

1.40

7w6d

51.

405w

4d5.

0010

w5d

1.60

8w1d

51.

505w

5d5.

1010

w6d

1.80

8w3d

51.

605w

6d5.

2011

w0d

2.00

8w5d

51.

706w

0d5.

3011

w1d

2.20

9w0d

51.

806w

1d5.

4011

w2d

2.40

9w1d

51.

906w

2d5.

5011

w3d

2.60

9w3d

52.

006w

3d5.

6011

w4d

2.80

9w5d

52.

106w

4d5.

7011

w5d

3.00

9w6d

52.

206w

5d5.

8011

w6d

3.20

10w

1d5

2.30

6w6d

5.90

12w

0d3.

4010

w2d

52.

407w

0d6.

0012

w1d

3.60

10w

4d5

2.50

7w1d

3.80

10w

5d5

2.60

7w2d

4.00

10w

6d5

2.70

7w3d

4.20

11w

1d5

2.80

7w4d

4.40

11w

2d5

2.90

7w5d

4.60

11w

3d5

3.00

7w6d

4.80

11w

4d5

3.10

8w0d

5.00

11w

6d5

3.20

8w1d

5.20

12w

0d5

3.30

8w2d

5.40

12w

1d5

3.40

8w3d

5.60

12w

2d5

3.50

8w4d

5.80

12w

3d5

3.60

8w5d

6.00

12w

4d5

3.70

8w6d

6.20

12w

5d5

3.80

9w0d

6.40

12w

6d5

3.90

9w1d

6.60

13w

0d5

4.00

9w2d

6.80

13w

1d5

4.10

9w3d

7.00

13w

2d5

4.20

9w4d

7.20

13w

3d5

4.30

9w5d

7.40

13w

4d5

4.40

9w6d

7.60

13w

5d5

4.50

10w

0d7.

8013

w6d

5

MN1-5482 Rev.2 5-121


Tabl

e N

o. 7

4 C

RL

Tabl

e N

o. 7

5 C

RL

(Day

a)(N

elso

n)C

RL

Ges

tatio

nal w

eek

±da

yC

RL

Ges

tatio

nal w

eek

±da

yC

RL

Ges

tatio

nal w

eek

CR

LG

esta

tiona

l wee

k(c

m)

(age

of f

etus

in w

eeks

)(c

m)

(age

of f

etus

in w

eeks

)(c

m)

(age

of f

etus

in w

eeks

)(c

m)

(age

of f

etus

in w

eeks

)0.

206w

1d5

4.30

11w

1d5

1.00

8w1d

7.20

13w

3d0.

306w

2d5

4.40

11w

2d5

1.20

8w2d

7.40

13w

4d0.

406w

3d5

4.50

11w

2d5

1.40

8w3d

7.60

13w

6d0.

506w

4d5

4.60

11w

3d5

1.60

8w5d

7.80

14w

0d0.

606w

5d5

4.70

11w

4d5

1.80

8w6d

8.00

14w

1d0.

706w

6d5

4.80

11w

4d5

2.00

9w0d

8.20

14w

2d0.

807w

0d5

4.90

11w

5d5

2.20

9w1d

8.40

14w

3d0.

907w

1d5

5.00

11w

5d5

2.40

9w2d

8.60

14w

5d1.

007w

2d5

5.10

11w

6d5

2.60

9w4d

8.80

14w

6d1.

107w

3d5

5.20

11w

6d5

2.80

9w5d

9.00

15w

0d1.

207w

4d5

5.30

12w

0d6

3.00

9w6d

1.30

7w5d

55.

4012

w0d

53.

2010

w0d

1.40

7w6d

55.

5012

w1d

53.

4010

w1d

1.50

8w0d

55.

6012

w1d

53.

6010

w3d

1.60

8w1d

55.

7012

w2d

53.

8010

w4d

1.70

8w2d

55.

8012

w2d

54.

0010

w5d

1.80

8w3d

55.

9012

w3d

64.

2010

w6d

1.90

8w4d

56.

0012

w3d

54.

4011

w0d

2.00

8w5d

56.

1012

w3d

54.

6011

w2d

2.10

8w6d

56.

2012

w4d

64.

8011

w3d

2.20

8w6d

56.

3012

w4d

55.

0011

w4d

2.30

9w0d

56.

4012

w5d

65.

2011

w5d

2.40

9w1d

56.

5012

w5d

55.

4011

w6d

2.50

9w2d

56.

6012

w5d

65.

6012

w0d

2.60

9w3d

56.

7012

w6d

55.

8012

w2d

2.70

9w4d

56.

8012

w6d

66.

0012

w3d

2.80

9w4d

56.

9012

w6d

56.

2012

w4d

2.90

9w5d

57.

0013

w0d

66.

4012

w5d

3.00

9w6d

57.

1013

w0d

56.

6013

w0d

3.10

10w

0d5

7.20

13w

0d6

6.80

13w

1d3.

2010

w1d

57.

3013

w1d

67.

0013

w2d

3.30

10w

1d5

7.40

13w

1d5

3.40

10w

2d5

7.50

13w

1d6

3.50

10w

3d5

7.60

13w

1d6

3.60

10w

3d5

7.70

13w

2d6

3.70

10w

4d5

7.80

13w

2d6

3.80

10w

5d5

7.90

13w

2d6

3.90

10w

6d5

8.00

13w

2d5

4.00

10w

6d5

4.10

11w

0d5

4.20

11w

0d5

5-122 MN1-5482 Rev.2



Tabl

e N

o. 7

6 FL

Tabl

e N

o. 7

7 FL

Tabl

e N

o. 7

8 FL

(Hoh

ler)

(O'B

rien)

(War

da)

FLG

esta

tiona

l wee

kFL

Ges

tatio

nal w

eek

(wee

k)(c

m)

± 2S

DFL

Ges

tatio

nal w

eek

±da

yFL

Ges

tatio

nal w

eek

±da

y(c

m)

(age

of f

etus

in w

eeks

)(c

m)

(age

of f

etus

in w

eeks

)14

1.66

0.25

(cm

)(a

ge o

f fet

us in

wee

ks)

(cm

)(a

ge o

f fet

us in

wee

ks)

1.00

12w

0d4.

5024

w3d

151.

990.

231.

0013

w1d

97.

0036

w3d

261.

1012

w2d

4.60

24w

6d16

2.20

0.30

1.20

13w

5d10

7.20

37w

2d27

1.20

12w

4d4.

7025

w2d

172.

520.

291.

4014

w3d

117.

4038

w1d

271.

3012

w6d

4.80

25w

5d18

2.96

0.31

1.60

14w

6d11

7.60

39w

0d28

1.40

13w

2d4.

9026

w1d

193.

240.

311.

8015

w4d

127.

8039

w6d

291.

5013

w4d

5.00

26w

4d20

3.48

0.25

2.00

16w

1d12

8.00

40w

6d29

1.60

13w

6d5.

1027

w0d

213.

750.

412.

2016

w6d

121.

7014

w1d

5.20

27w

3d22

4.09

0.39

2.40

17w

4d13

1.80

14w

4d5.

3027

w6d

234.

350.

362.

6018

w1d

131.

9014

w6d

5.40

28w

2d24

4.64

0.35

2.80

18w

6d14

2.00

15w

1d5.

5028

w5d

254.

800.

463.

0019

w5d

142.

1015

w3d

5.60

29w

1d26

5.11

0.50

3.20

20w

3d15

2.20

15w

6d5.

7029

w4d

275.

300.

323.

4021

w1d

152.

3016

w1d

5.80

30w

0d28

5.44

0.41

3.60

21w

6d16

2.40

16w

4d5.

9030

w4d

295.

730.

433.

8022

w5d

162.

5016

w6d

6.00

31w

0d30

5.87

0.38

4.00

23w

4d17

2.60

17w

1d6.

1031

w3d

316.

150.

454.

2024

w2d

182.

7017

w4d

6.20

31w

6d32

6.28

0.42

4.40

25w

1d18

2.80

17w

6d6.

3032

w2d

336.

490.

464.

6025

w6d

192.

9018

w2d

6.40

32w

6d34

6.57

0.44

4.80

26w

5d19

3.00

18w

4d6.

5033

w2d

356.

770.

485.

0027

w4d

203.

1019

w0d

6.60

33w

5d36

6.95

0.46

5.20

28w

3d20

3.20

19w

3d6.

7034

w2d

377.

080.

435.

4029

w2d

213.

3019

w5d

6.80

34w

5d38

7.18

0.56

5.60

30w

1d22

3.40

20w

1d6.

9035

w2d

397.

420.

515.

8031

w0d

223.

5020

w3d

7.00

35w

5d40

7.54

0.56

6.00

31w

6d23

3.60

20w

6d7.

1036

w1d

6.20

32w

6d24

3.70

21w

2d7.

2036

w5d

6.40

33w

5d24

3.80

21w

4d7.

3037

w1d

6.60

34w

4d25

3.90

22w

0d7.

4037

w5d

6.80

35w

4d26

4.00

22w

3d7.

5038

w1d

4.10

22w

6d7.

6038

w5d

4.20

23w

2d7.

7039

w2d

4.30

23w

4d7.

8039

w5d

4.40

24w

0d7.

9040

w2d

8.00

40w

5d

MN1-5482 Rev.2 5-123


Tabl

e N

o. 7

9 B

PD

Tabl

e N

o. 8

0 H

CTa

ble

No.

81

AC

Tabl

e N

o. 8

2 FL

(Chi

tty)

(Chi

tty)

(Chi

tty)

(Chi

tty)

(wee

k)3%

—50

%—

97%

mm

(wee

k)3%

—50

%—

97%

mm

(wee

k)3%

—50

%—

97%

mm

(wee

k)3%

—50

%—

97%

mm

1214

.418

.322

.112

55.5

68.1

80.8

1248

55.8

63.6

124.

47.

711

.113

1822

26.0

1369

.182

.295

.213

58.5

67.4

76.3

137.

510

.914

.414

21.5

25.6

29.8

1482

.696

109.

514

68.8

78.9

88.9

1410

.614

.117

.615

2529

.333

.515

95.8

109.

712

3.6

1579

.190

.310

1.5

1513

.617

.220

.816

28.5

32.8

37.2

1610

8.8

123.

113

7.5

1689

.310

1.6

113.

916

16.5

20.3

24.0

1731

.836

.340

.817

121.

613

6.4

151.

217

99.5

112.

912

6.4

1719

.423

.327

.218

35.2

39.8

44.4

1813

4.1

149.

316

4.6

1810

9.5

124.

113

8.7

1822

.326

.330

.219

38.4

43.2

48.0

1914

6.4

162

177.

719

119.

513

5.2

150.

919

25.1

29.2

33.3

2041

.646

.551

.420

158.

417

4.5

190.

620

129.

414

6.2

163.

120

27.9

32.1

36.3

2144

.849

.854

.821

170.

118

6.6

203.

221

139.

215

7.1

175.

121

30.6

34.9

39.2

2247

.853

58.1

2218

1.5

198.

521

5.5

2214

8.9

168

187.

122

33.2

37.6

42.0

2350

.856

.161

.423

192.

621

022

7.4

2315

8.5

178.

719

8.9

2335

.840

.344

.824

53.8

59.2

64.6

2420

3.4

221.

223

9.1

2416

7.9

189.

321

0.7

2438

.342

.947

.625

56.6

62.1

67.7

2521

3.8

232.

125

0.4

2517

7.3

199.

822

2.3

2540

.845

.550

.226

59.4

6570

.726

223.

824

2.6

261.

326

186.

621

0.2

233.

826

43.1

4852

.827

6267

.873

.627

233.

525

2.7

271.

927

195.

722

0.4

245.

227

45.4

50.4

55.3

2864

.670

.576

.528

242.

926

2.5

282.

128

204.

723

0.6

256.

428

47.6

52.7

57.8

2967

.173

.179

.229

251.

827

1.8

291.

929

213.

524

0.5

267.

629

49.8

5560

.130

69.5

75.7

81.9

3026

0.3

280.

730

1.2

3022

2.3

250.

427

8.6

3051

.857

.162

.431

71.8

78.1

84.4

3126

8.3

289.

231

0.2

3123

0.8

260.

128

9.4

3153

.859

.264

.632

7480

.486

.832

275.

929

7.3

318.

732

239.

326

9.7

300.

132

55.7

61.2

66.7

3376

82.6

89.2

3328

3.1

304.

932

6.7

3324

7.6

279.

131

0.6

3357

.563

.168

.734

7884

.791

.434

289.

831

233

4.3

3425

5.7

288.

432

1.0

3459

.264

.970

.635

79.9

86.7

93.5

3529

631

8.7

341.

335

263.

729

7.5

331.

335

60.8

66.6

72.4

3681

.688

.695

.536

301.

732

4.8

347.

936

271.

530

6.4

341.

336

62.3

68.2

74.1

3783

.290

.397

.437

306.

933

0.4

354.

037

279.

131

5.1

351.

237

63.7

69.7

75.8

3884

.792

99.2

3831

1.5

335.

535

9.5

3828

6.5

323.

736

0.9

3864

.971

.177

.339

86.1

93.5

100.

839

315.

634

036

4.5

3929

3.8

332.

137

0.5

3966

.172

.478

.740

87.3

94.8

102.

340

319.

234

436

8.9

4030

0.9

340.

437

9.8

4067

.273

.679

.941

88.5

96.1

103.

741

322.

134

7.4

372.

741

307.

834

8.4

389.

041

68.1

74.6

81.1

4289

.497

.210

4.9

4232

4.5

350.

337

6.0

4231

4.5

356.

239

8.0

4269

75.6

82.2

5-124 MN1-5482 Rev.2



Tabl

e N

o. 8

3 C

RL

Tabl

e N

o. 8

4 BP

DTa

ble

No.

85

AC

Tabl

e N

o.86

FL

Tabl

e N

o.87

NB

L(J

SUM

’03)

(JSU

M’0

3)(J

SUM

’03)

(JSU

M’0

3)(S

onek

)(d

ay)

10%

—50

%—

90%

mm

BPD

Ges

tatio

nal w

eek

± 1

.5SD

AC

Ges

tatio

nal w

eek

± 1

.5SD

FLG

esta

tiona

l wee

k ±

1.5

SDG

esta

tiona

l wee

k5%

—50

%—

95%

ile

496.

810

.116

.0(m

m)(

age o

f fet

us in

wee

ks)

(cm

)(a

ge o

f fet

us in

wee

ks)

(mm

)(ag

e of f

etus

in w

eeks

)(a

ge o

f fet

us in

) 51

7.3

10.5

15.7

12.6

103.

510

.416

1.4

20.1

164.

011

1.4

2.3

3.3

538.

111

.316

.015

.911

3.6

11.4

171.

522

.717

4.0

121.

82.

84.

255

9.0

12.5

17.0

19.3

123.

612

.518

1.6

25.3

184.

113

2.3

3.1

4.6

5710

.214

.018

.422

.713

3.7

13.5

191.

727

.819

4.1

142.

53.

85.

359

11.6

15.8

20.4

26.1

143.

814

.520

1.7

30.4

204.

215

34.

35.

761

13.1

17.8

22.7

29.5

153.

915

.521

1.8

32.9

214.

216

3.4

4.7

6.2

6314

.920

.025

.432

.916

4.0

16.5

221.

935

.422

4.3

174

5.3

6.6

6516

.722

.528

.336

.317

4.0

17.5

232.

037

.923

4.4

184.

35.

77

6718

.725

.031

.439

.618

4.1

18.5

242.

040

.324

4.4

195

6.3

7.9

6920

.927

.634

.643

.019

4.2

19.5

252.

142

.725

4.4

205.

26.

78.

371

23.1

30.3

37.8

46.2

204.

320

.526

2.2

45.0

264.

521

5.6

7.1

973

25.4

33.1

41.0

49.5

214.

421

.427

2.2

47.3

274.

522

5.8

7.5

9.3

7527

.935

.844

.152

.622

4.5

22.4

282.

349

.628

4.6

236.

47.

99.

677

30.4

38.4

47.0

55.7

234.

623

.329

2.4

51.7

294.

624

6.8

8.3

1079

32.9

40.9

49.6

58.8

244.

624

.230

2.4

53.8

304.

725

6.5

8.5

10.7

8135

.543

.351

.361

.725

4.7

25.1

312.

555

.831

4.8

267.

48.

910

.964

.626

4.8

25.9

322.

657

.832

4.8

277.

59.

211

.367

.427

4.9

26.8

332.

659

.633

4.8

287.

69.

812

.170

.128

5.0

27.6

342.

761

.434

4.9

297.

79.

811

.872

.629

5.1

28.4

352.

863

.035

5.0

307.

910

12.6

75.1

305.

129

.236

2.9

64.6

365.

031

8.2

10.4

12.6

77.4

315.

229

.937

2.9

66.0

375.

132

8.6

10.5

13.6

79.6

325.

330

.638

3.0

67.4

385.

133

8.7

10.8

12.8

81.7

335.

431

.339

3.1

68.6

395.

234

9.1

10.9

12.8

83.6

345.

531

.940

3.2

69.6

405.

235

8.5

1114

.185

.335

5.5

32.5

413.

270

.641

5.2

367.

810

.812

.886

.936

5.6

33.1

423.

371

.442

5.3

378.

711

.414

.588

.337

5.7

389.

311

.715

.789

.638

5.8

399.

210

.914

90.6

395.

940

10.4

12.1

14.5

91.5

405.

992

.241

6.1

92.6

426.

1

MN1-5482 Rev.2 5-125


FW G

RO

WTH

Tab

leTa

ble

No.

1 F

WTa

ble

No.

2 F

WTa

ble

No.

3 F

WTa

ble

No.

4 F

W(B

renn

er)

(Osa

ka U

)(H

adlo

ck)

(Shi

nozu

ka)

(wee

k)10

%—

50%

—90

%(g

)(w

k)(g

) ±

1SD

(g)

(wee

k)10

%—

50%

—90

%(g

)(w

k)(g

) ±

SD

(g)

2128

041

086

016

137

2910

2935

4118

188

4522

320

480

920

1717

631

1137

4553

1924

761

2337

055

099

018

223

3512

4858

6820

312

7724

420

640

1080

1928

042

1361

7385

2138

494

2549

074

011

8020

347

5014

7793

109

2246

411

226

570

860

1320

2142

560

1597

117

137

2355

213

027

660

990

1470

2251

271

1612

114

617

124

650

149

2877

011

5016

6023

611

8317

150

181

212

2575

716

929

890

1310

1890

2472

096

1818

522

326

126

873

189

3010

3014

6021

0025

839

110

1922

727

331

927

999

211

3111

8016

3022

9026

968

125

2027

533

138

728

1134

233

3213

1018

1025

0027

1106

140

2133

139

946

729

1277

255

3314

8020

1026

9028

1253

155

2239

847

855

930

1428

279

3416

7022

2028

8029

1407

171

2347

156

866

531

1584

303

3518

7024

3030

9030

1568

188

2455

667

078

432

1745

328

3621

9026

5032

9031

1735

204

2565

278

591

833

1910

354

3723

1028

7034

7032

1906

222

2675

891

310

6834

2075

380

3825

1030

3036

1033

2079

239

2787

610

5512

3435

2239

407

3926

8031

7037

5034

2254

257

2810

0412

1014

1636

2399

435

4027

5032

8038

7035

2428

276

2911

4513

7916

1337

2554

463

4128

0033

6039

8036

2600

296

3012

9415

5918

2438

2699

492

4228

3034

1040

6037

2767

317

3114

5317

5120

4939

2832

522

4328

4034

2041

0038

2928

339

3216

2119

5322

8540

2949

553

4427

9033

9041

1039

3080

362

3317

9421

6225

3041

3047

584

4032

2038

734

1973

2377

2781

3521

5425

9530

3636

2335

2813

3291

3725

1330

2835

4338

2686

3236

3786

3928

5134

3540

1940

3004

3619

4234

5-126 MN1-5482 Rev.2



Tabl

e N

o. 5

FW

Tabl

e N

o. 6

FW

Tabl

e N

o.7

FW(Y

orko

ni)

(Had

lock

)(J

SUM

’03)

(wee

k)10

%—

50%

—95

%(g

)(w

eek)

10%

—50

%—

90%

(g)

(wee

k)(g

)—

1613

215

420

725

490

660

889

18.0

187

4617

173

215

249

2656

876

010

1619

.024

761

1821

427

629

127

660

875

1160

20.0

313

7719

223

300

412

2876

510

0513

2221

.038

794

2023

232

453

429

884

1153

1504

22.0

469

112

2127

543

270

530

1020

1319

1706

23.0

560

130

2231

954

087

631

1171

1502

1928

24.0

660

149

2334

759

888

032

1338

1702

2167

25.0

771

169

2437

665

688

533

1519

1918

2421

26.0

892

190

2554

979

311

1834

1714

2146

2687

27.0

1023

211

2672

293

113

5235

1919

2383

2959

28.0

1163

233

2775

510

8715

6336

2129

2622

3230

29.0

1313

256

2878

912

4417

7437

2340

2859

3493

30.0

1470

279

2990

013

9518

8338

2544

3083

3736

31.0

1635

303

3010

1115

4619

9239

2735

3288

3952

32.0

1805

328

3111

9816

9323

9240

2904

3462

4217

33.0

1980

354

3213

8518

4027

9341

3042

3597

4254

34.0

2156

380

3314

9120

3230

0042

3142

3685

4322

35.0

2333

407

3415

9722

2432

0843

3195

3717

4324

36.0

2507

435

3517

0324

2733

3637

.026

7646

336

1809

2631

3465

38.0

2838

493

3722

3928

2436

7939

.029

8952

338

2669

3017

3894

40.0

3125

553

41.0

3244

584

MN1-5482 Rev.2 5-127


Inte

rval

Gro

wth

Rat

eTa

ble

No.

1 4

W B

PD

Tabl

e N

o. 2

6W

BP

DTa

ble

No.

3 8

W B

PD

Tabl

e N

o. 4

10W

BP

D(L

evon

)(L

evon

)(L

evon

)(L

evon

)(w

eek)

10%

—50

%—

90%

(wee

k)10

%—

50%

—90

%(w

eek)

10%

—50

%—

90%

(wee

k)10

%—

50%

—90

%17

2.5

3.5

4.4

172.

83.

54.

117

33.

54

173.

13.

53.

918

2.5

3.4

4.4

182.

83.

44.

118

2.9

3.4

3.9

183

3.4

3.8

192.

43.

44.

419

2.7

3.4

419

2.9

3.4

3.9

193

3.4

3.8

202.

43.

34.

320

2.7

3.3

420

2.9

3.3

3.8

203

3.3

3.7

212.

33.

34.

321

2.6

3.3

3.9

212.

83.

33.

821

2.9

3.3

3.7

222.

33.

24.

222

2.6

3.2

3.9

222.

73.

23.

722

2.8

3.2

3.6

232.

23.

24.

123

2.5

3.2

3.8

232.

73.

23.

623

2.8

3.2

3.6

242.

13.

14

242.

43.

13.

724

2.6

3.1

3.6

242.

73.

13.

525

23

3.9

252.

33

3.6

252.

53

3.5

252.

63

3.4

261.

92.

93.

826

2.2

2.9

3.5

262.

42.

93.

426

2.5

2.9

3.3

271.

82.

83.

727

2.1

2.8

3.4

272.

32.

83.

327

2.4

2.8

3.2

281.

72.

63.

628

22.

63.

328

2.2

2.6

3.1

282.

32.

63

291.

52.

53.

529

1.9

2.5

3.2

292

2.5

329

2.1

2.5

2.9

301.

42.

43.

430

1.7

2.4

330

1.9

2.4

2.9

302

2.4

2.8

311.

32.

23.

231

1.6

2.2

2.9

311.

72.

22.

731

1.8

2.2

2.6

321.

12.

13.

132

1.4

2.1

2.7

321.

62.

12.

632

1.7

2.1

2.5

330.

91.

92.

933

1.3

1.9

2.6

331.

41.

92.

433

1.5

1.9

2.3

340.

81.

72.

734

1.1

1.7

2.4

341.

31.

72.

234

1.4

1.7

2.1

350.

61.

62.

535

0.9

1.6

2.2

351.

11.

62.

135

1.2

1.6

236

0.4

1.4

2.3

360.

71.

42

360.

91.

41.

936

11.

41.

8

5-128 MN1-5482 Rev.2



Tabl

e N

o. 5

4W

AC

Tabl

e N

o.6

6W A

CTa

ble

No.

7 8

W A

CTa

ble

No.

8 1

0W A

C(L

evon

)(L

evon

)(L

evon

)(L

evon

)(w

eek)

10%

—50

%—

90%

(wee

k)10

%—

50%

—90

%(w

eek)

10%

—50

%—

90%

(wee

k)10

%—

50%

—90

%17

7.2

11.5

15.9

178.

611

.514

.517

9.3

11.5

13.7

179.

711

.613

.318

7.1

11.5

15.8

188.

511

.514

.418

9.2

11.5

13.7

189.

711

.513

.319

711

.415

.719

8.4

11.4

14.3

199.

111

.413

.619

9.6

11.4

13.2

206.

911

.315

.620

8.3

11.3

14.2

209

11.3

13.5

209.

511

.313

.121

6.8

11.1

15.5

218.

211

.114

.121

8.9

11.1

13.4

219.

311

.113

226.

611

15.4

228.

111

1422

8.8

1113

.222

9.2

1112

.823

6.5

10.9

15.3

237.

910

.913

.823

8.7

10.9

13.1

239.

110

.912

.724

6.4

10.7

15.1

247.

810

.713

.724

8.5

10.7

12.9

248.

910

.712

.525

6.2

10.6

14.9

257.

610

.613

.525

8.3

10.6

12.8

258.

810

.612

.426

610

.414

.826

7.5

10.4

13.3

268.

210

.412

.626

8.6

10.4

12.2

275.

810

.214

.627

7.3

10.2

13.2

278

10.2

12.4

278.

410

.212

285.

710

14.4

287.

110

1328

7.8

1012

.228

8.2

1011

.829

5.5

9.8

14.2

296.

99.

812

.829

7.6

9.8

1229

89.

811

.630

5.2

9.6

1430

6.7

9.6

12.6

307.

49.

611

.830

7.8

9.6

11.4

315

9.4

13.8

316.

59.

412

.331

7.2

9.4

11.6

317.

69.

411

.232

4.8

9.2

13.5

326.

29.

212

.132

6.9

9.2

11.4

327.

49.

211

334.

58.

913

.333

68.

911

.933

6.7

8.9

11.1

337.

18.

910

.734

4.3

8.7

1334

5.7

8.7

11.6

346.

48.

710

.934

6.9

8.7

10.5

354

8.4

12.8

355.

58.

411

.335

6.2

8.4

10.6

356.

68.

410

.236

3.7

8.1

12.5

365.

28.

111

.136

5.9

8.1

10.3

366.

38.

19.

9

MN1-5482 Rev.2 5-129


Tabl

e N

o. 9

4W

FL

Tabl

e N

o. 1

0 6W

FL

Tabl

e N

o.11

8W

FL

Tabl

e N

o. 1

2 10

W F

L(L

evon

)(L

evon

)(L

evon

)(L

evon

)(w

eek)

10%

—50

%—

90%

(wee

k)10

%—

50%

—90

%(w

eek)

10%

—50

%—

90%

(wee

k)10

%—

50%

—90

%17

2.1

3.1

4.2

172.

43.

13.

817

2.6

3.1

3.7

172.

73.

13.

618

23

4.1

182.

33

3.7

182.

53

3.7

182.

63

3.5

191.

92.

94

192.

22.

93.

619

2.4

2.9

3.4

192.

52.

93.

320

1.8

2.8

3.9

202.

12.

83.

520

2.3

2.8

3.3

202.

42.

83.

221

1.7

2.7

3.8

212

2.7

3.4

212.

22.

73.

321

2.3

2.7

3.2

221.

62.

63.

722

1.9

2.6

3.3

222.

12.

63.

222

2.2

2.6

3.1

231.

52.

63.

623

1.9

2.6

3.2

232

2.6

3.1

232.

12.

63

241.

42.

53.

524

1.8

2.5

3.2

241.

92.

53

242

2.5

2.9

251.

42.

43.

425

1.7

2.4

3.1

251.

92.

42.

925

22.

42.

826

1.3

2.3

3.3

261.

62.

33

261.

82.

32.

826

1.9

2.3

2.7

271.

22.

23.

327

1.5

2.2

2.9

271.

72.

22.

827

1.8

2.2

2.7

281.

12.

23.

228

1.5

2.2

2.9

281.

62.

22.

728

1.7

2.2

2.6

291.

12.

13.

129

1.4

2.1

2.8

291.

62.

12.

629

1.7

2.1

2.5

301

23.

130

1.3

22.

730

1.5

22.

630

1.6

22.

531

0.9

23

311.

32

2.7

311.

52

2.5

311.

62

2.4

320.

91.

93

321.

21.

92.

632

1.4

1.9

2.4

321.

51.

92.

333

0.8

1.9

2.9

331.

21.

92.

633

1.3

1.9

2.4

331.

41.

92.

334

0.8

1.8

2.9

341.

11.

82.

534

1.3

1.8

2.3

341.

41.

82.

235

0.7

1.8

2.8

351.

11.

82.

535

1.3

1.8

2.3

351.

41.

82.

236

0.7

1.7

2.8

361

1.7

2.4

361.

21.

72.

336

1.3

1.7

2.2

5-130 MN1-5482 Rev.2



Tabl

e N

o. 1

3 4W

AD

Tabl

e N

o. 1

4 6W

AD

Tabl

e N

o. 1

5 8W

AD

Tabl

e N

o. 1

6 10

W A

D(L

evon

)(L

evon

)(L

evon

)(L

evon

)(w

eek)

10%

—50

%—

90%

(wee

k)10

%—

50%

—90

%(w

eek)

10%

—50

%—

90%

(wee

k)10

%—

50%

—90

%17

2.3

3.7

5.1

172.

73.

74.

617

33.

74.

417

3.1

3.7

4.2

182.

33.

75

182.

73.

74.

618

2.9

3.7

4.4

183.

13.

74.

219

2.2

3.6

519

2.7

3.6

4.6

192.

93.

64.

319

33.

64.

220

2.2

3.6

520

2.7

3.6

4.5

202.

93.

64.

320

33.

64.

221

2.2

3.5

4.9

212.

63.

54.

521

2.8

3.5

4.3

213

3.5

4.1

222.

13.

54.

922

2.6

3.5

4.4

222.

83.

54.

222

2.9

3.5

4.1

232.

13.

54.

923

2.5

3.5

4.4

232.

83.

54.

223

2.9

3.5

424

23.

44.

824

2.5

3.4

4.4

242.

73.

44.

124

2.8

3.4

425

23.

44.

825

2.4

3.4

4.3

252.

73.

44.

125

2.8

3.4

3.9

261.

93.

34.

726

2.4

3.3

4.2

262.

63.

34

262.

73.

33.

927

1.9

3.3

4.6

272.

33.

34.

227

2.5

3.3

427

2.7

3.3

3.8

281.

83.

24.

628

2.3

3.2

4.1

282.

53.

23.

928

2.6

3.2

3.8

291.

73.

14.

529

2.2

3.1

4.1

292.

43.

13.

829

2.6

3.1

3.7

301.

73.

14.

530

2.1

3.1

430

2.4

3.1

3.8

302.

53.

13.

631

1.6

34.

431

2.1

33.

931

2.3

33.

731

2.4

33.

632

1.5

2.9

4.3

322

2.9

3.9

322.

22.

93.

632

2.3

2.9

3.5

331.

42.

84.

233

1.9

2.8

3.8

332.

12.

83.

533

2.3

2.8

3.4

341.

42.

84.

234

1.8

2.8

3.7

342.

12.

83.

534

2.2

2.8

3.3

351.

32.

74.

135

1.7

2.7

3.6

352

2.7

3.4

352.

12.

73.

236

1.2

2.6

436

1.7

2.6

3.5

361.

92.

63.

336

22.

63.

2

MN1-5482 Rev.2 5-131


Rat

io N

orm

al R

ange

Tabl

e N

o. 1

CI:

BP

Do/

OFD

oTa

ble

No.

2 F

L/A

CTa

ble

No.

3 F

L/B

PDTa

ble

No.

4 H

C/A

C(H

adlo

ck)

(Had

lock

)(H

ohle

r)(C

ampb

ell)

GA

Low

erU

pper

GA

Low

erU

pper

GA

Low

erU

pper

GA

Low

erU

pper

(wk)

(wk)

(wk)

(wk)

140.

70.

8621

0.20

0.24

230.

710.

8713

1.14

1.31

150.

70.

8622

0.20

0.24

240.

710.

8714

1.14

1.31

160.

70.

8623

0.20

0.24

250.

710.

8715

1.05

1.39

170.

70.

8624

0.20

0.24

260.

710.

8716

1.05

1.39

180.

70.

8625

0.20

0.24

270.

710.

8717

1.07

1.29

190.

70.

8626

0.20

0.24

280.

710.

8718

1.07

1.29

200.

70.

8627

0.20

0.24

290.

710.

8719

1.09

1.26

210.

70.

8628

0.20

0.24

300.

710.

8720

1.09

1.26

220.

70.

8629

0.20

0.24

310.

710.

8721

1.06

1.25

230.

70.

8630

0.20

0.24

320.

710.

8722

1.06

1.25

240.

70.

8631

0.20

0.24

330.

710.

8723

1.05

1.21

250.

70.

8632

0.20

0.24

340.

710.

8724

1.05

1.21

260.

70.

8633

0.20

0.24

350.

710.

8725

1.04

1.22

270.

70.

8634

0.20

0.24

360.

710.

8726

1.04

1.22

280.

70.

8635

0.20

0.24

370.

710.

8727

1.05

1.22

290.

70.

8636

0.20

0.24

380.

710.

8728

1.05

1.22

300.

70.

8637

0.20

0.24

390.

710.

8729

0.99

1.21

310.

70.

8638

0.20

0.24

400.

710.

8730

0.99

1.21

320.

70.

8639

0.20

0.24

310.

961.

1733

0.7

0.86

400.

200.

2432

0.96

1.17

340.

70.

8641

0.20

0.24

330.

961.

1135

0.7

0.86

420.

200.

2434

0.96

1.11

360.

70.

8635

0.93

1.11

370.

70.

8636

0.93

1.11

380.

70.

8637

0.92

1.05

390.

70.

8638

0.92

1.05

400.

70.

8639

0.87

1.06

400.

871.

0641

0.93

1.00

420.

931.

00

5-132 MN1-5482 Rev.2



Tabl

e N

o. 5

LV

W/H

WTa

ble

No.

6 F

L/H

C(P

&J)

(Had

lock

FL

HC

)G

ALo

wer

Upp

er(w

k)Lo

wer

Upp

er(w

k)15

0.15

0.17

150.

380.

7416

0.13

0.17

160.

460.

6817

0.15

0.18

170.

490.

6718

0.16

0.18

180.

410.

6119

0.16

0.18

190.

410.

5720

0.17

0.2

200.

380.

5421

0.16

0.2

210.

310.

5322

0.18

0.2

220.

290.

5123

0.19

0.21

230.

260.

4224

0.19

0.21

240.

270.

4325

0.19

0.2

250.

290.

3726

0.19

0.2

260.

240.

3627

0.19

0.2

270.

230.

3428

0.19

0.21

280.

180.

4529

0.2

0.21

290.

220.

3730

0.19

0.21

300.

260.

3431

0.19

0.21

310.

230.

3632

0.19

0.21

320.

260.

3633

0.2

0.22

330.

250.

3734

0.19

0.22

340.

230.

3335

0.2

0.22

350.

260.

3136

0.2

0.22

360.

230.

3437

0.21

0.23

370.

240.

3438

0.21

0.23

380.

220.

3339

0.21

0.23

400.

210.

2341

0.22

0.23

420.

20.

24

MN1-5482 Rev.2 5-133


AFI

Tab

le Tabl

e N

o. 1

AFI

val

ues

Tabl

e N

o. 2

AFI

val

ues

Tabl

e N

o. 3

AFI

val

ues

(Moo

re)

(Phe

lan)

(Jen

g, e

t. al

.)(w

eek)

5%—

50%

—95

%cm

(wee

k)Lo

wer

Upp

er(c

m)

(wee

k)m

ean

1SD

cm16

7.90

12.1

018

.50

368.

017

.613

9.70

1.70

178.

3012

.70

19.4

037

8.8

17.4

149.

701.

7018

8.70

13.3

020

.20

388.

718

.115

13.7

03.

5019

9.00

13.7

020

.70

397.

517

.316

13.7

03.

5020

9.30

14.1

021

.20

407.

817

.017

12.5

03.

4021

9.50

14.3

021

.40

414.

313

.318

12.5

03.

4022

9.70

14.5

021

.60

423.

813

.219

14.3

03.

1023

9.80

14.6

021

.80

2014

.30

3.10

249.

8014

.70

21.9

021

14.5

03.

3025

9.70

14.7

022

.10

2214

.50

3.30

269.

7014

.70

22.3

023

15.2

03.

3027

9.50

14.6

022

.60

2415

.20

3.30

289.

4014

.60

22.8

025

16.4

05.

3029

9.20

14.5

023

.10

2616

.40

5.30

309.

0014

.50

23.4

027

16.4

04.

8031

8.80

14.4

023

.80

2816

.40

4.80

328.

6014

.40

24.2

029

17.0

05.

0033

8.30

14.3

024

.50

3017

.00

5.00

348.

1014

.20

24.8

031

15.6

04.

2035

7.90

14.0

024

.90

3215

.60

4.20

367.

7013

.80

24.9

033

16.5

04.

7037

7.50

13.5

024

.40

3416

.50

4.70

387.

3013

.20

23.9

035

16.0

04.

9039

7.20

12.7

022

.60

3616

.00

4.90

407.

1012

.30

21.4

037

16.5

04.

9041

7.00

11.6

019

.40

3816

.50

4.90

426.

9011

.00

17.5

039

14.0

04.

8040

14.0

04.

8041

13.7

05.

5042

13.7

05.

50

5-134 MN1-5482 Rev.2



Dop

pler

Ran

ge T

able

Tabl

e N

o. 1

Um

bilic

al a

rtery

PI

Tabl

e N

o. 2

Um

bilic

al a

rtery

RI

Tabl

e N

o. 3

Mid

dle

cere

bral

arte

ryPI

Tabl

e N

o. 4

Mid

dle

cere

bral

arte

ryR

I(S

hino

zuka

)(S

hino

zuka

)(S

hino

zuka

)(S

hino

zuka

)(w

eek)

10%

—90

%(w

eek)

10%

—90

%(w

eek)

10%

—90

%(w

eek)

10%

—90

%13

1.29

2.58

130.

760.

9621

1.51

2.02

210.

770.

8614

1.20

2.22

140.

730.

9222

1.56

2.19

220.

780.

8915

1.13

1.97

150.

710.

8923

1.59

2.34

230.

790.

9116

1.08

1.79

160.

690.

8624

1.62

2.46

240.

800.

9217

1.05

1.66

170.

670.

8425

1.64

2.54

250.

800.

9318

1.02

1.57

180.

660.

8326

1.65

2.60

260.

800.

9419

1.00

1.50

190.

650.

8127

1.65

2.63

270.

800.

9420

0.99

1.45

200.

640.

8028

1.65

2.63

280.

800.

9521

0.97

1.41

210.

640.

7929

1.63

2.61

290.

800.

9422

0.96

1.37

220.

630.

7830

1.61

2.57

300.

790.

9423

0.95

1.35

230.

620.

7831

1.58

2.52

310.

790.

9324

0.94

1.33

240.

620.

7732

1.54

2.45

320.

780.

9225

0.92

1.31

250.

610.

7733

1.49

2.38

330.

770.

9126

0.91

1.29

260.

610.

7634

1.44

2.30

340.

760.

9027

0.90

1.27

270.

600.

7535

1.38

2.21

350.

750.

8928

0.88

1.25

280.

590.

7536

1.32

2.13

360.

730.

8829

0.87

1.23

290.

580.

7437

1.25

2.05

370.

720.

8730

0.85

1.21

300.

570.

7438

1.19

1.98

380.

700.

8631

0.82

1.19

310.

560.

7339

1.12

1.92

390.

680.

8532

0.80

1.16

320.

550.

7240

1.05

1.87

400.

660.

8433

0.78

1.14

330.

540.

7141

0.99

1.83

410.

640.

8334

0.75

1.12

340.

530.

7035

0.73

1.10

350.

520.

7036

0.70

1.08

360.

510.

6937

0.68

1.06

370.

500.

6838

0.67

1.05

380.

500.

6739

0.66

1.04

390.

500.

6740

0.66

1.03

400.

500.

6741

0.67

1.03

410.

500.

67

MN1-5482 Rev.2 5-135


Tabl

e N

o. 5

Um

bilic

al a

rtery

PI

Tabl

e N

o. 6

Um

bilic

al a

rtery

RI

(JSU

M’0

3)(J

SUM

’03)

(wee

k)5%

ile10

%ile

50%

ile90

%ile

95%

ile(w

eek)

5%ile

10%

ile50

%ile

90%

ile95

%ile

201.

132

1.14

0 1.

420

1.59

4 1.

630

200.

699

0.71

60.

780

0.83

00.

832

211.

064

1.10

0 1.

300

1.49

21.

518

210.

684

0.71

00.

760

0.80

80.

819

220.

965

1.03

81.

250

1.52

41.

563

220.

652

0.66

90.

733

0.81

20.

860

231.

045

1.05

01.

230

1.54

01.

620

230.

660

0.66

00.

713

0.78

00.

781

241.

000

1.01

2 1.

260

1.47

61.

594

240.

656

0.66

10.

750

0.79

00.

810

250.

883

0.89

5 1.

155

1.37

5 1.

491

250.

597

0.63

00.

710

0.75

90.

781

260.

868

0.94

11.

180

1.45

61.

592

260.

620

0.64

20.

717

0.77

00.

807

270.

780

0.83

81.

060

1.32

21.

384

270.

564

0.59

00.

680

0.76

70.

780

280.

880

0.93

01.

090

1.29

01.

380

280.

600

0.62

30.

690

0.76

50.

786

290.

830

0.86

71.

050

1.26

41.

300

290.

572

0.59

60.

680

0.75

00.

768

300.

771

0.81

01.

010

1.24

6 1.

324

300.

551

0.57

40.

653

0.74

80.

769

310.

740

0.78

20.

940

1.10

81.

200

310.

550

0.56

10.

630

0.70

80.

735

320.

695

0.74

80.

970

1.14

11.

195

320.

518

0.55

00.

639

0.71

00.

736

330.

688

0.73

90.

940

1.15

01.

194

330.

515

0.53

90.

619

0.71

10.

732

340.

677

0.73

00.

911

1.10

11.

136

340.

495

0.51

90.

610

0.68

00.

695

350.

710

0.78

10.

920

1.11

01.

205

350.

524

0.54

10.

610

0.70

20.

710

360.

687

0.71

90.

900

1.08

01.

142

360.

499

0.52

00.

598

0.66

80.

690

370.

710

0.73

00.

880

1.06

01.

090

370.

510

0.52

00.

580

0.66

00.

684

380.

657

0.70

00.

894

1.05

71.

170

380.

487

0.50

30.

590

0.67

00.

680

390.

711

0.75

00.

900

1.08

51.

138

390.

498

0.53

00.

616

0.67

30.

695

400.

649

0.70

30.

900

1.12

11.

149

400.

477

0.49

10.

598

0.67

00.

690

410.

590

0.60

90.

885

1.11

51.

147

410.

447

0.46

90.

583

0.65

90.

690

5-136 MN1-5482 Rev.2



Tabl

e N

o. 7

Mid

dle

cere

bral

arte

ryP

ITa

ble

No.

8 M

iddl

e ce

rebr

al a

rtery

RI

(JSU

M’0

3)(J

SUM

’03)

(wee

k)5%

ile10

%ile

50%

ile90

%ile

95%

ile(w

eek)

5%ile

10%

ile50

%ile

90%

ile95

%ile

201.

426

1.43

31.

550

2.19

22.

320

200.

746

0.75

00.

790

0.88

20.

926

211.

250

1.29

01.

580

1.88

01.

989

210.

712

0.73

00.

790

0.85

00.

869

221.

220

1.29

01.

580

1.93

02.

110

220.

720

0.72

00.

790

0.84

00.

870

231.

344

1.38

81.

646

2.07

02.

154

230.

713

0.74

20.

805

0.86

60.

883

241.

375

1.44

61.

625

2.02

42.

230

240.

740

0.74

30.

807

0.85

70.

860

251.

377

1.45

51.

880

2.23

22.

249

250.

752

0.77

20.

836

0.92

90.

949

261.

238

1.34

41.

640

2.11

82.

367

260.

700

0.73

60.

781

0.86

40.

922

271.

516

1.66

62.

100

2.34

02.

483

270.

790

0.80

00.

860

0.89

50.

910

281.

500

1.53

01.

938

2.39

32.

488

280.

765

0.77

50.

842

0.91

00.

920

291.

583

1.63

52.

060

2.40

82.

606

290.

770

0.80

00.

870

0.91

00.

929

301.

509

1.60

02.

125

2.69

02.

717

300.

779

0.79

90.

869

0.92

60.

941

311.

508

1.56

42.

000

2.65

62.

812

310.

776

0.79

10.

852

0.98

41.

000

321.

415

1.48

01.

911

2.36

02.

413

320.

738

0.77

00.

843

0.90

00.

913

331.

349

1.43

71.

935

2.24

32.

306

330.

733

0.75

70.

840

0.88

30.

892

341.

235

1.52

01.

835

2.27

02.

310

340.

700

0.77

00.

832

0.89

10.

905

351.

258

1.35

01.

920

2.35

02.

473

350.

720

0.73

00.

843

0.91

20.

923

361.

188

1.32

61.

700

2.22

42.

407

360.

679

0.71

80.

800

0.90

00.

922

371.

080

1.17

21.

540

1.95

01.

994

370.

640

0.69

20.

760

0.85

00.

860

381.

045

1.08

61.

545

1.97

02.

091

380.

652

0.67

00.

777

0.85

70.

869

391.

011

1.17

5 1.

560

1.80

91.

918

390.

600

0.66

40.

790

0.82

00.

841

401.

070

1.07

01.

280

1.73

81.

849

400.

652

0.66

00.

710

0.80

00.

837

410.

925

0.99

41.

550

1.88

51.

917

410.

592

0.61

50.

742

0.83

70.

849

MN1-5482 Rev.2 5-137

5-7.Abbreviation


5-7. Abbreviation


AB Abortus

AC Abdominal Circumference

AD Abdominal Diameter

AF Amniotic Fluid

AFI Amniotic Fluid Index

AF Pocket Amnio Fluid Pocket

AFV Amniotic Fluid Volume

APTD or (APD) Antero Posterior Trunk Diameter

A × T APTD × TTD

B B(CTR,CTAR)

BBT Based on Basal Body Temperature

BD Binocular Distance

BPD Biparietal Diameter

BPDo Biparietal Diameter (outer - outer)

CD Cerebral Diameter

CI Cephalic Index

CRL Crown Rump Length

CSA Cross Sectional Area

CTAR Cardio thoracic Area Ratio

CTR Cardio thoracic Ratio

D-Ao Descending Aorta

ECTOP Ectopic

EDC Estimated Date of Confinement


EDV End Diastolic Volume

EES Early Embryonic Size

EF Ejection Fraction

ESV End Systolic Volume

FHR Fetus Heart Rate

FIB Fibula

FL Femur Length

FS Fractional Shortening

FTA Fetal Trunk cross-sectional Area

5-138 MN1-5482 Rev.2

5-7.Abbreviation


FW Fetus Weight

GA Gestational Age

Grav Gravida

GS Gestational Sac

Lt Left

LMP Last Menstrual Period

HC Head Circumference

HL Humerus Length

HW Hemispheric Width

IOD Inner Orbital Diameter

LLQ Left Lower Quadrant

LUQ Left Upper Quadrant

LV Length of Vertebrae

LV Function Left Ventricular Function

LVIDd,s Left ventricular Internal Diameter (diastole, Systole)

LVOT Left Ventricular Out Tract diameter

LVOT Flow Left Ventricular Outflow Tract Flow

LVW Lateral Ventricular Width

MCA Middle Cerebral Artery

mGS mean Gestational Sac

MnV Mean Velocity

NBL Nasal Bone Length

NT Nuchal Translucency

OBDop1-3 OB Doppler 1-3

OFD Occipital Frontal Diameter

OFDo Occipital Frontal Diameter (outer - outer)

OOD Outer Orbital Diameter

Para Para


PLI Preload Index

PreFHR Fetus Heart Rate Before Biopsy

Pst FHR Fetus Heart Rate after Biopsy


pV peak Velocity


MN1-5482 Rev.2 5-139

5-7.Abbreviation


RAD Radius length

Renal-A Renal Artery

RI Resistance Index

RLQ Right Lower Quadrant

RUQ Right Upper Quadrant

Rt Right

Rt./Lt. Right/Left

RVDd Right Ventricular Diameter (diastole)

RVOT Right Ventricular Out Tract diameter

RVOT Flow Right Ventricular Outflow Tract Flow

S/D S/D ratio

SF Systolic forward Flow PLI

SV Stroke Volume

TC Thoracic Circumference

TIB Tibia length

TL Thoracic Length

TTD(or TAD) Transverse Trunk Diameter (or Transverse Abdominal Diameter)

ULNA Ulna length

UmA Umbilical Artery

US-EDC Estimated Date of Confinement by Ultrasound all GA parameters

US-GA Composite GA by Ultrasound

UtA Uterine Artery

VTI Velocity Time Integral


5-140 MN1-5482 Rev.2

5-7.Abbreviation


MN1-5482 Rev.2 6-1


6-1.Preface

6.Gynecological Measurement

6. GYNECOLOGICAL MEASUREMENT6-1. Preface

The description concerning the gynecological measurement functions is divided into the following six sub-sections.

6-1. Preface6-2. Gynecological Measurement Functional Outline6-3. Measurement operation procedure6-4. Report Function6-5. Preset Function6-6. Calculation Formula & Reference

This section describes the procedure for carrying out gynecological measurements, based on the assumption thatproducts are on the factory default.

Descriptions of the basic operations of the measurement functions and each measurement method (mark type = Caliper, Trace, etc.) are given in the Section 1. "MEASUREMENT FUNCTIONS".

6-2 MN1-5482 Rev.2

6-2.Gynecological Measurement Functional Outline


6-2. Gynecological Measurement Functional Outline

6-2-1. Gynecological Measurement Functional List

Gynecological measurements use studies consisting of various combinations of the measurement menu, report dis-play, and so on, depending upon the part being examined and the purpose of the examination.

[Remark]On the factory default, it contains GYN Study, Follicles Study and Bladder Study.

The gynecological measurement is divided as shown in the figure below for each mode.


6-2-1-1. B mode

6-2-1-2. D mode


Measurement menu Display items Remark

Uterus measurement

Uterus Ut-V Ut-L Ut-AP Ut-W Measure at two cross-sections.

Endom-T Endom-T Measure at one cross-section.

Cervix Crv-L Crv-AP Crv-W Measure at two cross-sections.

Cervix measurement

Ovary Ov-V Ov-L Ov-AP Ov-W Measure at a number of cross-sections.Consists of Right/Left.

Ovary measurement

Follicles Rt.Follicles Lt.Follicles Measurement can be performed at up to 10 points at both left and right.

Follicles Volume measurement

Rt. Follicles Volume Rt.Fol.Vol. Measurement can be performed at up to 10 points at both left and right.

Lt. Follicles Volume Lt.Fol.Vol.

Bladder measurement

Bladder Volume Bl-V Bl-L Bl-W Bl-AP Measure at two cross-sections. Display the amount of urine discharged as Void Volume in the report.Consists of Pre/Pst.



Ovarian artery measurement

Uterine Artery PI RI S/D PSV Consists of Right/Left.

EDV MnV

Uterine artery measurement

Ovarian Artery PI RI S/D PSV Consists of Right/Left.

EDV MnV

GYN Dop 1GYN Dop 2GYN Dop 3

PI RI S/D PSV GYN Dop1 — 3:It is possible to freely define and use a name according to the particular purpose and application.

EDV MnV

MN1-5482 Rev.2 6-3

6-2.Gynecological Measurement Functional Outline


6-2-2. Items of Special Note

In Follicles and Endom-T measurement, it is possible to display the management of growth change along with thepassage of time, based on the menstrual cycle.In this case, enter the LMP (last menstrual period) or BBT (basal body temperature).The measured values of the blood flow values obtained using this equipment are the absolute values displayed onthe observation monitor. They are controlled as positive and negative values for the purpose of calculating the arith-metic index.If the display of each measured value in a report is set to “Average” in a preset, the positive and negative values areadded together and displayed as a mean value. Consequently, when performing multiple measurements of bloodflow on the blood flow waveform drawn using the color Doppler method as a guide, use identical recording condi-tions (forward and reverse flow directions) for all of the blood flow waveforms in order to correctly display each ofthe arithmetic values arranged in the report.

6-4 MN1-5482 Rev.2



6-3. Measurement operation procedureObstetrical measurements use the following studies.

GYN (for general gynecologic measurement)Follicles (for follicles)Bladder (for bladder measurement)


<Method of changing a study>

When a Study & Application of the touch panel is selected, the study names are displayed, so make a selection.

Measurement items are changed.

MN1-5482 Rev.2 6-5





[Remark]The display examples of measurement results in this chapter are displayed with a layout for a vertical display.


6-6 MN1-5482 Rev.2



6-3-1. B mode

6-3-1-1. Uterus measurement

The uterus is approximated to an ellipsoid, then the length of the longitudinal view (length), the anterior-posterior(A-P), and the width of the transverse view (Width) are measured, and the volume is calculated.

[Remark]Measure these three axes in such a way that they intersect eachother.[Remark]You can perform this measurement using GYN Study.

<Operation method>

(1) Display the longitudinal and transverse images of the uterus in the 2B mode.

(2) Select the Uterus on the touch panel.→ The + mark is displayed, so measure Length using a longitudinal image.

(3) Press the + switch.→ Measure A-P using a longitudinal image.

(4) Press the + switch.→ Measure the width using a transverse image.

The volume (Ut-V) is calculated.


<Example of Uterus results display>

EndometriumLength

Longitudinal View

(AP)Width

AP

Anterior PosteriorDiameter

Transverse View

UterusUt-V : cm3

Ut-L : cmUt-AP: cmUt-W : cm

Uterus Volume Uterus Length Uterus Anterior-posterior Uterus Width

MN1-5482 Rev.2 6-7



6-3-1-2. Endom-T measurement

Measure the thickness of the endometrium.

[Remark]When evaluating the change in the thickness of the endometri-um based on the menstrual cycle, first enter the LMP (last men-strual period) or BBT (basal body temperature) on the IDscreen.[Remark]You can perform this measurement using GYN Study or Follicles Study.

<Operation method>

(1) Display the image of the endometrium.

(2) Select the Endom-T on the touch panel.→ The + mark is displayed, so measure the endometrium.


<Example of Endom-T results display>

Endometrium

Longitudinal View

Endometrial

Transverse View

Endometrial Thickness

Thickness

Endom-T cm Endometrial Thickness

6-8 MN1-5482 Rev.2



6-3-1-3. Cervix measurement

Measure the major and minor axes of the longitudinal view of theuterine cervix (Length, AP) and the major axis of the transverse view(Width).

[Remark]You can perform this measurement using GYN Study.

<Operation method>

(1) Display the longitudinal and transverse view images of the uterine cervix in the 2B mode.

(2) Select the Cervix on the touch panel.→ The + mark is displayed, so measure the Length using the longitudinal image.

(3) Press the + switch.→ Measure the A-P using the longitudinal image.



<Example of Cervix results display>

Length

Longitudinal View

Width

AP

Transverse View

Anterior PosteriorDiameter (AP)

Bladder

Cervix

Uterus

CervixCrv-L : cmCrv-AP: cmCrv-W : cm

Cervix Length Cervix Anterior-posterior Cervix Width

MN1-5482 Rev.2 6-9



6-3-1-4. Ovary measurement

The left and right ovaries are approximated to ellipsoids, then the length of the longitudinal view (Length), the an-terior-posterior (A-P), and the width of the transverse view (Width) are measured, and from the results the volumeof the ovaries is calculated.

[Remark]Measure these three axes in such a way that they intersect eachother.The switching between the Right and Left can be made with thetouch panel. [Remark]You can perform this measurement using GYN Study.

<Operation method>

The case of the Right of the Ovary is explained.

(1) Display the longitudinal and transverse images of the right ovary in the 2B mode.

(2) Select the Ovary on the touch panel.→ The + mark is displayed, so measure the Length using the longitudinal image.



Volume(Ov-V) is computed.


<Example of Ovary results display>

Length

AP

AP

Width

Ovary Volume Ovary Length Ovary Anterior-posterior Ovary Width

Rt.OvaryOv-V : cm3

Ov-L : cmOv-AP: cmOv-W : cm

6-10 MN1-5482 Rev.2



6-3-1-5. Follicles measurement

This function measures the size of the left and right follicles. You can measure up to 10 follicles in each of the leftand right ovaries.The switching between the Right and Left can be made with the touch panel.

[Remark]When evaluating the change in the number of follicles and thefollicle diameter based on the menstrual cycle, first enter theLMP (last menstrual period) or BBT (basal body temperature).[Remark]If you wish to measure both the front-rear and left-right axes ofeach follicle, change over the measurement method to the 2 Cal-iper method or the Cross Caliper method. For details, Refer toSection 6-5-2. "PRESET list"[Remark]You can perform this measurement using Follicles Study.

<Operation method>

The case of the Right of the Follicles is explained.

(1) Record an image showing the follicles of the right ovary.

(2) Select the Follicles on the touch panel.→ The + mark is displayed, so measure the follicle.

[Remark]When you perform measurement using the Caliper (Vol.) method, the capacity is displayed together with the mea-sured values.When using the 2 Caliper method or the Cross Caliper method, if you press the ENTER switch after performing step(2) the + mark for the second axis will be displayed. If you wish to continue performing measurement, press the +switch.[Remark]When measuring by either 2 Caliper (avg) method or Cross Caliper (avg) method, the mean value along with thevalues of the two axes is displayed.


<Example of Follicles results display>

[Remark]You can measure up to 10 follicles.The number of follicles is displayed in front of the measurement value.

Rt.Follicles 1: 2.4cm First Follicle measurement valueRt.Follicles 2: 2.4cm Second Follicle measurement value

Rt.Follicles 9: 2.4cm Ninth Follicle measurement valueRt.Follicles 0: 2.4cm Tenth Follicle measurement value

Follicle

Anterior-posterior/left-right diameter

MN1-5482 Rev.2 6-11



6-3-1-6. Follicles Volume measurement

This function measures the size of the left and right follicles. Using Ellipse+Caliper method, measure the length of three axes (D1, D2 and D3), then find the follicle volume. You can measure up to 10 follicles in each of the left and right ovaries.The switching between the Right and Left can be made with the touch panel.

[Remark]When evaluating the change in the number of follicles and the follicle diameter based on the menstrual cycle, firstenter the LMP (last menstrual period) or BBT (basal body temperature).[Remark]You can perform this measurement using Follicles Study.

<Operation method>

The case of the Right of the Follicles Volume is explained.

(1) Record the longitudinal and transverse images of follicle in the right ovary with 2B mode.

(2) Select the Follicles Volume on the touch panel.

(3) When + mark is shown, using Ellipse method, measure two axes (D1 and D2) with the trackball and ENTER switch.→ The average is displayed with value for the two axes.

(4) Press the + switch.→ Using Caliper method, measure D3 in the transverse image.

The volume is calculated.


＜ Example of Follicles Volume results display ＞

[Remark]When proceeding to measure, press the + switch.Up to ten examples can be measured, but only five examples at a time can be displayed.You may also stop measurement after only one or two axes.

Caliper method

D3Follicle

Ellipse method

D1

D2

D1 Follicles measurement(Ellipse method)D2 Follicles measurement(Ellipse method)D3 Follicles measurement(Caliper method)AverageVolume

Rt.Fol.Vol.1: cm : cm2: cmave: cmVol.: cm3

6-12 MN1-5482 Rev.2



6-3-1-7. Bladder Volume measurement

This function enables you to calculate the volume of the bladder before and after it is full, and to calculate the amountof urine discharged from the difference in these values.The bladder is approximated to an ellipsoid, then the left of the major axis of the longitudinal view (AP, Width) aremeasured, and from these results the volume of the bladder is calculated.

[Remark]Measure these three axes in such a way that they intersect eachother.

The switching between the Pre Void and Post Void can be madewith the touch panel.[Remark]You can perform this measurement using Bladder Study.

<Operation method>

The case of the Pre Void is explained.

(1) Record the longitudinal and transverse images of the bladder before and after urination in the 2B mode.

(2) Select the Bladder Volume, and select the Pre Void on the touch panel.→ The + mark is displayed, so measure the Length using the longitudinal image.


(4) Press the + switch.→ Measure the Width using the transverse image. Volume(Bl-V) is computed.


<Example of Bladder Volume results display>

[Remark]Display the amount of urine discharged (Pre-Pst) from the volume (PreBldr Vol.) calculated using Pre Bldr Vol.measurement and the volume (Pst Bldr Vol.) calculated using Pst Bldr Vol. measurement.

Length Width

A-P

← Bladder Volume← Bladder Length← Bladder Anterior-posterior← Bladder Width

PreBldr Vol.Bl-V : cm3

Bl-L : cmBl-AP: cmBl-W : cm

The same measurement items are displayedfor PstBldr Vol too.

MN1-5482 Rev.2 6-13



6-3-2. D mode

6-3-2-1. Uterine Artery, Ovarian Artery measurementGynecological Dop mode measurements include the measurement of blood flow through the left and right uterinearteries and also the measurement of blood flow through the ovarian arteries.A waveform for each artery is traced, and the blood flow measurement data (PI, RI, S/D), and so on, is obtained.As the measurement menu, the Uterine Artery for arteria uterine and the Ovarian Artery for arteria ovariea are avail-able. The switching between the Right and Left can be made with the touch panel.

[Remark]In PI and RI measurement, the peak systolic velocity (PSV) and the end diastolic velocity (EDV) are used.There are also reports stating that these indexes use the minimum diastolic velocity.The end diastolic velocity and the minimum diastolic velocity are not necessary the same.Consequently, when performing these measurements, manually move the time phase of the EDV to the end diastolicpoint or to the minimum velocity point.[Remark]You can perform this measurement using GYN Study.

<Operation method>

The case of the Right of the Uterine Artery is explained.

(1) Record the blood flow Doppler waveform for the right uterine artery.

(2) Select the Uterine Artery on the touch panel.→ The line cursor (vertical) is displayed.

(The + mark is displayed in the case of the Manual Trace method.)

(3) Using the Dop Trace method, trace the Doppler waveform.→ PI, RI, S/D, and so on, are measured, and line cursors accompanied

by the letters “S” and “D” are displayed.[Remark]Adjust the line cursors accompanied by the letters “S” and “D” using the ENTERswitch and the trackball.“S”: Peak Systolic Velocity point “D”: End Diastolic Velocity point[Remark]In the Dop Trace method, the operation method for Auto Trace is different from that of Manual Trace. For detailsof the operation procedure, refer to Section 1-7-4-5. "The measurement procedure of the Dop-Trace method".


<Example of Uterine Artery, Ovarian Artery results display>

S

D

← Pulsatility Index← Resistance Index← Systolic / Diastolic← Peak Systolic Velocity← End Diastolic Velocity← Mean velocity

Rt.UtAPI :RI :S/D :PSV : cm/sEDV : cm/sMnV : cm/s

6-14 MN1-5482 Rev.2



6-3-2-2. GYN Dop 1(- 3) measurement

You can register (or create) up to three measurements of arterial blood flow other than the blood flow through theuterus or the ovaries by using the Preset function.The procedure for performing all of the blood flow measurements created here is the same as that for Uterine Artery.

<Example of GYN Dop 1 results display>

← Pulsatility Index← Resistance Index← Systolic / Diastolic← Peak Systolic Velocity← End Diastolic Velocity← Mean velocity

GYN Dop1PI :RI :S/D :PSV : cm/sEDV : cm/sMnV : cm/s

MN1-5482 Rev.2 6-15

6-4.Report function


6-4. Report functionA report arranges and displays each index value and measurement value for gynecological measurement and alsorelated patient information.A report displays only the results of the measurement. You can register up to six measurement values in a report.

[Remark]You can set the number of values to be registered using Report Display of Preset.[Remark]Be sure to enter patient data (Patient ID, Name, etc.) on the ID screen.






(1) Press Report on the touch panel.




Return Closes the report.Header Switches the header block (patient data display) between Long Form and Short Form.Prev., Next Advances or returns the page in block units.Study name Switch the study of the displayed report.US Image Displays an ultrasound image in the report.Output Outputs report data to a personal computer, Media, printer or saver.

Study name

6-16 MN1-5482 Rev.2

6-4.Report function


6-4-2. Report Block

A report block is the unit used to display data (each set of gynecological measurement data).It arranges pertinent ultrasound information such as Header (patient information) block, Site information (facilitiesinformation) block, and Uterus block.


It can display the past reports that are on the requested dates.However, it is not possible to Edit (revision / deletion) the past measurement records.




Comment

Facilities information(examination, etc.) block inputfrom ID screen

from ID screen measurement result

MN1-5482 Rev.2 6-17

6-4.Report function






(3) Select OK.


Push buttons

Text box Scroll bar

6-18 MN1-5482 Rev.2

6-4.Report function





<Operation method>






MN1-5482 Rev.2 6-19

6-4.Report function



[Remark]Like PI and RI measurement, there are two items of blood flow velocity data (PSV and EDV) within the period be-tween two heartbeats that are mutually related.Perform an editing operation so as to maintain the mutual time phase relationship.(4) Change to a different measurement value:


[Remark]This function operates only when the setting “Always display the latest measurement value (last measurement value)on the report screen” is activated. If the result is set to the mean value, it remains unchanged regardless of what mea-surement value is selected.(Refer to Section 6-5-2. "PRESET list" Report Data)

6-20 MN1-5482 Rev.2

6-4.Report function



6-4-3-1. Patient Information

The meaning of Patient Information displayed in an gynecological measurement report is as follows.

LMP : Date of the last menstruation periodCycle day : Dates from LMP till exam dayGRAV : Number of gravidaPARA : Number of paraAB : Number of abortions or miscarriagesECTO : Number of ectopic pregnancies

6-4-3-2. GYN Report

This function enables you to display the measurement results of GYN Study.

[Remark]In GYN Report, you can enter comments concerning the position of the uterus and the uterine tubes from your im-pressions of the ultrasound image.The method of entering comments is the same as that of Section 6-4-2-2. "Comment input function".Move the arrow to <Text box>, then press the ENTER switch and enter a comment.

Position where a comment can be input.

Uterus, Endom-T, CervixRt./Lt.Ovary measurement results aredisplayed

Doppler measurement results are displayed

MN1-5482 Rev.2 6-21

6-4.Report function


6-4-3-3. Follicles Report

This function enables you to display the measurement results of Follicles Study.

Pull down menu

The current Rt./Lt.Fol and Endom-Tmeasurement results are displayed here.

A history of the current and past mea-surement results is displayed here.→ If you performed a measurement inthe past, the date is added to the Exam.Date column.

The drug dosage, serum hormonevalue, and so on, for current and pastmeasurements are input.→ Drug & Serum input function

Text box for unit input

The current Rt./Lt.Fol. and Vol. measure-ment results are displayed here.

6-22 MN1-5482 Rev.2

6-4.Report function


[Remark]In the Follicles Report, you can display up to 10 follicles for each of the left and right ovaries in ascending order ofsize.If you measure more than 10 follicles, the measurement results will be deleted in sequence from the smallest follicle.[Remark]When measuring the follicle diameter along two axes (2 Caliper method or Cross Caliper method), the measurementresults for the two axes are displayed. In the case of 2-axis measurement, the larger of the two results is displayedin the history display of the current and past measurement results.When measuring the follicle diameter by the two-axis mean (Either 2 Caliper (avg) or Cross Caliper (avg)), the meanvalue is displayed along with the values of the two axes. In the history display of current and past, the mean value(avg) is displayed.[Remark]There is no limit to the number of sets of past data that can be displayed. However, the LMP data entered in PatientInformation is a reference, so data that is older than LMP is not displayed.

Also, note that you cannot display measurement data that is earlier than LMP unless you first enter LMP (last men-strual period) or BBT (basal body temperature).

MN1-5482 Rev.2 6-23

6-4.Report function


<Drug & Serum input function>

Here, you can enter the results of ovary follicle measurement and also remarks such as drug dosage and serum hor-mone value for current and past measurements.

The following two patterns can be used as setting methods.

(1) Specify the drug and serum from the pull-down menu.

a. Move the arrow to of the specified text box, and press the ENTER switch.→ A list of gynecological drugs and serum hormone names is displayed.

b. Using the trackball, select a name, and press the ENTER switch.→ The specified name is transferred to the text box.

(2) Directly enter (register) the drug and serum names.

a. Move the arrow into the text box, and press the ENTER switch.→ Enter the drug and serum names from the keyboard.

The entered information is registered as a user registration in the above list.

Pull down menu list

Drug Administration No entry (Blank display)

Pergonal

Clomiphene

Metrodin

hCG

Lepren

Serum Level No entry

Estradiol

Pnojeslerene

β HCG

LH

FSH

6-24 MN1-5482 Rev.2

6-4.Report function


6-4-3-4. Bladder Report

This function enables you to display the measurement results of Bladder Study.

[Remark]The Void Volume is calculated from (PreBldr Vol. - Pst Bldr Vol.).

Pre Bldr Vol.,Pst Bldr Vol. measurement results are displayedVoid Volume

MN1-5482 Rev.2 6-25

6-4.Report function


6-4-3-5. Anatomy Check List Report

Anatomy Check List is a function that displays anatomical comments concerning the uterus, ovaries, and so on, andalso comments concerning waveforms, as a checklist. It is displayed in the Anatomy Check List Block.You can make a selection from the built-in checklist and user registration checklist.

Fig. Report on Anatomy CL Study Display example

[Remark]On the factory default, this study is not displayed. (Refer to Section 6-5-2. "PRESET list" Study Assignment)

<Operation method>

A checklist consists of headings and selections.

Heading Selection

6-26 MN1-5482 Rev.2

6-4.Report function


Make a selection from the pull-down menu.

(1) Move the arrow to of the specified selection, and press the ENTER switch.→ A selection list of opinions is displayed.

(2) Using the trackball, select a comment and press the ENTER switch.→ The specified item is transferred to Selection.

The arrow moves to next Selection.

[Remark]To register a number of items, repeat step (2).[Remark]The built-in choices can be registered by the user.Refer to Section 6-5-2. "PRESET list"

MN1-5482 Rev.2 6-27

6-4.Report function



This function automatically displays the current ultrasound image acquired by the examiner in the US Image blockof the report.Also, by using the Review function at the bottom of the Report screen, it is possible to display all of the images storedin the connected medium (f.e. HDD and external media such as USB memory) as thumbnail images. You can alsoselect one of these images, and display it in the report.







6-28 MN1-5482 Rev.2

6-4.Report function





[Remark]The number of displayed images and the display format can be set only by the Preset function.The factory default settings are Display Pasted US Image Form on the Screen: 2 × 2, and Number of US Images tobe Automatically Displayed is 4.





MN1-5482 Rev.2 6-29

6-4.Report function



<Operation method>








[Remark]Regarding the “Change View” functionBy selecting Change View at the bottom of the thumbnail display, you can also display past images for the samepatient as a thumbnail display.[Remark]Each time you select Change View, the display conditions switch over between “current image only” and “currentand past images”. The particular set of conditions displayed is indicated at top right of the thumbnail screen.





1 2 3

4 5 6

7 8 9


The displayed screenshows images acquireddu r in g t he cur ren texamination.

6-30 MN1-5482 Rev.2

6-4.Report function








[Remark]To cancel the selection, re-select the same block.(4) Enter the number of copies, and select Print.

→ Printing starts, and the dialog box closes.

Printing starts. This function is ended withoutprinting taking place.

MN1-5482 Rev.2 6-31

6-4.Report function





(2) Paper sizes : Set the size of the paper to be used. (US letter, A4 alternative selection)The function does not operate when a digital black and white printer is selected





(7) Signature : Selects if the Signature field is set as Physician only, both Physician and Sonogra-pher, or no field is displayed (None).


6-32 MN1-5482 Rev.2

6-4.Report function





(1) Select Output.→ The Select Device dialog box is displayed.s





MN1-5482 Rev.2 6-33

6-4.Report function





(1) Select Output.→ The “Select device” dialog box is displayed





6-34 MN1-5482 Rev.2

6-5.Preset function




The gynecological measurement preset consists broadly of the following three functions.




The preset functions related to obstetrical measurements and their configuration are shown below.

GYN PresetCreate Measurement Tools Setting of the items that are common to GYN measurement and Basic measurements.

Basic Measurement Refer to Section 1-10. "PRESET FUNCTION"Application Measurement Settings concerning GYN measurement to be used, Mark Style and result display.

Measurement Method & Display Items Selection and setting of each GYN measurement method, Mark Style and result display items.B.Mode B mode measurement settings.M.Mode M mode measurement settings.D.Mode D mode measurement settings.F.Mode Flow mode measurement settings.

Caliper Mark Control Setting of the measurement mark size and dot line. Substituted by Basic measurement preset.Unit Selection Setting of the display unit for performing GYN measurement. Substituted by Basic

measurement preset.Caliper Auto Off Setting of the measurement mark for canceling a freeze condition, and also the automatic

result erasure function.Report Data Selection of the method of displaying measurement values on the report (mean value or not).

Anatomy Check List Setting of the Anatomy Check List.Display Form Setting of GYN measurement result display style.

Mark Display Setting for displaying a caliper.User’s Calculation Function is for making the registration of calculation formulas voluntarily by user.

Reserved Word Function is for making the registration name (Reserved Word) voluntarily by user.


Defined study name GYN, Follicles, BladderMenu Assignment Function that enables a measurement menu to be created and edited.Anatomy Check List Assign Setting of the check list to be displayed on the report.Combined Report Display Function that enables the configuration of a report to be edited.Other Function that enables a selection of whether or not to display a measurement operation guide

message.

SW Assignment Setting of registration of the direct execution switches.+ Mark Key Assignment Function that assigns the measurements to be executed when the + switch is pressed. Hot Key Assignment Function that assigns the measurement function that operates when a specific alphabet key is

pressed.Measure SW Assignment Function that assigns the measurement function that operates when the User switch is pressed.Control Menu Assignment Assigning the control menu on the touch panel.

MN1-5482 Rev.2 6-35

6-5.Preset function


6-5-2. PRESET list

• GYN PresetReturns the registered contents to their default setting


Refer to Section 1.





6-36 MN1-5482 Rev.2

6-5.Preset function


OFF : Results and marks not erasedON : Results and marks all erasedAll Mark Erase : Only marks erasedRemain Active Mark: Erases all marks other than formeasurement during starting

• Caliper Auto Off setting

• Report Data

Selects either average values or the latest values, setsthe number of data items registered, and sets mea-surement data reuse On/Off.Pasting of ImageSetting the display sequence of the follicle mea-surement reportAuto display of Transfer List Display

• Anatomy Check ListBuilt-in checklist items, list of choices, and user

registration

You can change (user selection) the built-inchoices.

MN1-5482 Rev.2 6-37

6-5.Preset function


• Built-inThe built-in choices can be registered by the user.


• Display FormSelects vertical or horizontal display and switches whether or not measurement item multiple displays display the measurements only during starting.Changing whether a simultaneous display with the Basic measurement or not

• Mark DisplaySetting for displaying caliper mark and measurement results

• User’s CalculationRegisters GYN measurement equation

• Reserved Word Registers Cardiac reserved word.

6-38 MN1-5482 Rev.2

6-5.Preset function


• Study AssignmentSwitches the display on/off for built-in studies and registers new studies.

• Study AssignmentAnatomy Check List AssignSelects the check list assign

• Study AssignmentMenu AssignRegisters to the Menu Assign Gynecological measurement menu

• Study AssignmentCombined Report DisplayCombinations of measurement blocks displayed in reports


MN1-5482 Rev.2 6-39

6-5.Preset function


• SW Assignment+ Mark Key AssignmentRegisters the measurement started with the + mark.

• SW AssignmentHot key AssignmentRegisters measurements to the Keyboard.

• SW AssignmentMeasure SW AssignmentRegisters measurements to the Measure SW

• Control Menu AssignmentRegisters to control menues on the touch panel.

6-40 MN1-5482 Rev.2




6-6-1. Calculation


6-6-2. Anatomy Check List

[Remark]NA : Not Available = Blank

Measurement name Calculation

Uterus Volume Volume(cm3) = 0.523 × Length × A − P × Width

Ovary Volume Volume(cm3) = 0.523 × Length × A − P × Width

Bldr Volume Volume(ml) = π / 6 × Length × Width × A − P

@@ − Volume is derived from @ − L, @ − AP, @ − W, their units are cm.

Follicles Volume(cm3) = 4 / 3 × r3 (r = radius r1 = d1/2)

Follicles Volume

Volume(cm3)

Average(cm2)

= 4 / 3π×r1×r2×r3=π/6×d1×d2×d3(r = radius r1 = d1÷2, r2=d2÷2, r3=d3÷2)=(d1+d2+d3)/3

The Anatomy Check List built in equipmentHeading SelectionUterus Anteverted, Retroverted, Anteflexed, Retroflexed, Absent,

See Comment, NARight Ovary WNL, Enlarged, Not Seen, Absent, See Comment, NALeft Ovary WNL, Enlarged, Not Seen, Absent, See Comment, NARight Adnexa WNL, Absent, Free Fluid, See Comment, NALeft Adnexa WNL, Absent, Free Fluid, See Comment, NACul de Sac WNL, Fluid, Abnormal, See Comment, NAEndometrium Prominent, Normal, Fluid, Polyp, See Comment, NARight Ovarian Cyst None, Simple Complex, Multiple, See Comment, NALeft Ovarian Cyst None, Simple Complex, Multiple, See Comment, NAFibroid None, Single, Multiple, See Comment, NAPolyp None, Single, Multiple, See Comment, NA

MN1-5482 Rev.2 6-41



6-6-3. Clinical References

6-6-3-1. B mode

(1) Uterus Volume

Barry B. Goldberg, M. D., Alfred B. Kurtz, M. D.Atlas of Ultrasound Measurements.Mosby Year Book Medical Publishers, INC. P194 ISBN 0-8151-3541-6

(2) Ovarian Volume

Pe Harris L. Chohen, MD et al. :“Ovarian Volumes Measured by US: Bigger than We Think”Radiology 1990; 177: 189-192

(3) Endometrial Thickness

Seth Granberg, MD et al. :“Endometrial thickness as measured by endovaginal ultrasonography for identifying endometrial abnormality”AM J OBSTET GYNECOL 1991; 164: 47-52

Theera Tongsong, MD et al. :“Use of Vaginosonographic Measurements of Endometrial Thickness in the Identification of Abnormal Endometrium in Pre-and Postmenopausal Bleeding”J Clin Ultrasound 22: 479-482, October 1994

Igal Wolman, MD et al. :“The Sensitivity and Specificity of Vaginal Sonography in Detecting Endometrial Abnormalities in Women with Postmenopausal Bleeding”J Clin Ultrasound 24: 79-82, February 1996

(4) Follicles measurement

Queenan et al. :“Ultrasound scanning of ovaries to detect ovulation in women”Fertility and SterilityVol.34, No.2, August1980

C.O’Herlihy, L. J. Ch.De Crespigny and H. P. Robinson:“Monitoring ovarian follicular development with real-time ultrasound”British Journal of Obstetrics and Gynecology Vol.87. pp613-618, July1980

6-42 MN1-5482 Rev.2



6-6-3-2. D mode

(1) Uterine Artery

Kurjak, MD et al. :“Transvaginal color flow Doppler in the assessment of ovarian and uterine blood flow in infertile women.”Fertility and Sterility Vol.56, No5, November 1991; 870-873

ZEE WEINER, DAN BECK et al. :“Uterine artery flow velocity waveforms and color flow imaging in women with perimenopausal and postmenopausal bleeding: Correlation to endometrial histopathology”Acta Obstet Gynecol

(2) Ovarian Artery

Kurjak, MD et al. : “Transvaginal color flow Doppler in the assessment of ovarian and uterine blood flow in infertile women.”Fertility and Sterility Vol.56, No5, November 1991; 870-87

MN1-5482 Rev.2 6-43

6-7.Abbreviation


6-7. Abbreviation


AB Abortus

AP Antero posterior diameter

Bl Bladder

BBT Based on Basal Body Temperature

Crv Cervix

Cycle day Cycle day

ECTOP Ectopic


Endom-T Endometrial Thickness

Fol. Follicles

Grav Gravida

GYN Dop 1 — 3 GYN Dop 1 — 3

L Length

Lt Left

LMP Last Menstrual Period

MnV Mean Velocity

Ov Ovary

OvA Ovarian Artery

Para Para


Pre.Bldr Vol. Pre Bladder Volume

Pst.Bldr Vol. Post Bladder Volume


RI Resistance Index

Rt Right

Rt./Lt. Right/Left


Ut Uterus

UtA Uterine Artery

V Volume

W Width

6-44 MN1-5482 Rev.2

6-7.Abbreviation


MN1-5482 Rev.2 7-1


7-1.Preface

7.Urological Measurement

7. UROLOGICAL MEASUREMENT7-1. Preface

The description concerning the Urological measurement functions is divided into the following six sub-sections.

7-1. Preface7-2. Urological Measurement Functional Outline7-3. Measurement operation procedure7-4. Report Function7-5. Preset Function7-6. Calculation Formula & Reference

This section describes the procedure for carrying out urology measurements, based on the assumption that productsare on the factory default.

Descriptions of the basic operations of the measurement functions and each measurement method (mark type = Caliper, Trace, etc.) are given in the Section 1. "MEASUREMENT FUNCTIONS".

7-2 MN1-5482 Rev.2

7-2.Urological Measurement Functional Outline


7-2. Urological Measurement Functional Outline

7-2-1. Urological Measurement Functional List

Urological measurements use studies consisting of various combinations of measurement menu, report display, andso on, depending upon the part being examined and the purpose of the examination.

[Remark]On the factory default, it contains Prostate & SV Study, Bladder &Testis Study, and Kidney Study.

The urological measurement is divided as shown in the figure below for each mode.


7-2-1-1. B mode



PSA measurement(Prostate & SV Study)

PSA Volume PSAD PSA mPSA Vol. Two cross-sections obtained using a per rectum biplane scan.PR-H PR-L PR-W COEF

PRS Slice Vol. Vol. PCAR Area Circ Multiple cross-sections obtained using a per rectum radial scan.

Seminal Vesicles measurement(Prostate & SV Study)

Seminal Vesicles SV-AP SV-RL SV-SI Measure at two cross-sections.Consists of Right/Left.

Bladder measurement(Bladder &Testis Study)(Prostate & SV Study)

Bladder Volume Vol. Bl-L Bl-W Bl-AP Measure at two cross-sections. Void Vol=(Pre - Pst)Consists of Pre/Pst.

Void Vol

Testicle measurement(Bladder &Testis Study)

Testis Volume Vol. Tst-L Tst-W Tst-AP Measure at two cross-sections.Consists of Right/Left.

Renal measurement(Kidney Study)

Renal Volume Vol. Rnl-L Rnl-W Rnl-AP Measure at two cross-sections.Consists of Right/Left.

Cortex Thickness T1 T2 T3 Measure at one cross-section.Consists of Right/Left.

Adrenal L W AP Measure at two cross-sections.Consists of Right/Left.

MN1-5482 Rev.2 7-3

7-2.Urological Measurement Functional Outline


7-2-1-2. D mode

7-2-2. Items of Particular Note

The measured values of the blood flow values obtained using this equipment are the absolute values displayed onthe observation monitor. They are controlled as positive and negative values for the purpose of calculating the arith-metic index.If the display of each measured value in a report is set to “Average” in a preset, the positive and negative values areadded together and displayed as a mean value. Consequently, when performing multiple measurements of bloodflow on the blood flow waveform drawn using the color Doppler method as a guide, use identical recording condi-tions (forward and reverse flow directions) for all of the blood flow waveforms in order to correctly display each ofthe arithmetic values arranged in the report.



Renal Artery measurement(Kidney Study)

Renal Artery PI RI S/D PSV Diagnosis for the rate of stenosisConsists of Right/Left.EDV MnV ACC AccT

FlowT AccT/FT

Uro.Dop 1Uro.Dop 2Uro.Dop 3Uro.Dop 4

PI RI S/D PSV Uro.Dop1 — 4:It is possible to freely define and use a name according to the purpose or application.

EDV MnV ACC AccT

FlowT AccT/FT

7-4 MN1-5482 Rev.2



7-3. Measurement operation procedureUrological measurements has the following studies.

Prostate & SVBladder &TestisKidney


< Method of changing a study>

When a Study & Application of the touch panel is selected, the study names are displayed, so make a selection.

The measurement items are changed.

MN1-5482 Rev.2 7-5





[Remark]The display examples of measurement results in this chapter are displayed with a layout for a vertical display.


7-6 MN1-5482 Rev.2



7-3-1. B mode

7-3-1-1. PSA Volume measurement

Measure the three dimensions (Height, Length, Width) from two orthogonally intersecting cross-sections drawn us-ing a per rectum biplane probe, and obtain the volume of the prostate.

Also, calculate the prostate specific antigen density (PSA Density) with respect to the volume of the prostate, usingthe prostate specific antigen (PSA) value entered from the ID screen.

[Remark]The PSA value used in this measurement is applicable to the case of the Tandem-R kit.When using a kit manufactured by another pharmaceutical company, the PSA sensitivity and detection performancewill be different, even for the same patient, so when carrying out this measurement, be sure to set the correction co-efficient using a preset in order to convert the values obtained using this kit into the values normally obtained withthe Tandem-R kit. The default is 1.00.Contact the pharmaceutical company regarding the correction coefficient.[Remark]You can display the results of this measurement in Prostate & SV Study.

<Operation method>

(1) Display the longitudinal and transverse images of the prostate in the 2B mode.

(2) Select the PSA Volume on the touch panel.→ The + mark is displayed, so measure the Height using the longitudinal image.

(3) Press the + switch.→ Measure the Length using the longitudinal image.

(4) Press the + switch.→ Measure the width using the transverse image.

The volume and the PSAD of the prostate are calculated and displayed.


MN1-5482 Rev.2 7-7



<Example of PSA Volume results display>

Volume of prostate Height of prostate Length of prostate Width of prostate

Serum PSA (Prostate Specific Antigen)

Prostate specific antigen estimated from the volume of the prostate PSA density

Coefficient value for converting to Tandem-R value

PRS VolumeVol.: . cm3

PR-H: . cmPR-L: . cmPR-W: . cm

PredictedPSA ValuePSA : . ng/mlmPSA: . ng/mlPSAD: .PSA COEF: .

7-8 MN1-5482 Rev.2



7-3-1-2. PRS Slice Volume measurement

In this measurement, the transverse image is recorded at 5mm intervals using the Step Planimetry method, the areaof each transverse image is measured, then each of these areas is integrated by multiplying it by the 5mm pitch, andthe total volume of the prostate is obtained.By tracing the circumference of the prostrate at each transverse image drawn with a per rectum radial probe, it ispossible to obtain the presumed circle area ratio (PCAR).

S1

P1 P2 Pn-1 Pn

S2

SnSn-1

S

l

S'

l

Transverse image correspond-ing to the maximum area

Presumed circuit of circumference 1

CalculationVolume(cm3)= Σ Si × Pitch

PCAR= S / S’

Method of calculating volume

S1, S2, ... : Each slice transverse image area(Measured using the same scanning method as employed for Area-Trace of the basic measurement.) Number of slices is no limit.

P1, P2, ... : Slice pitch (mm)The pitch can be changed between 1mm and 999mm, and is input from the keyboard.

PCAR:

CalculationVolume={S1 × P1+S2 × P2+.....+Sn × Pn}

This is an index of how close the transverse image of the prostate is to a circle. It is defined as the ratio S/S’ where S’ is a presumed circle that has the same circumference as the area S of the maximum transverse image of the prostate.S: Maximum area of the prostate obtained using the Trace methodL: Circumference of the maximum area S of the prostate

S’: Area S’ is a presumed circle that has the same circumference L = π (L/2π)2

MN1-5482 Rev.2 7-9



[Remark]The pitch value used to calculate the volume is set to 5mm at the factory default.If the value used at each hospital is different, when performing step (3) of the <Operation method> turn rotary en-coder 1 on the right side of the trackball clockwise to display the dialog box for entering the Pitch value, and enterthe pitch value. Next, select OK.

[Remark]You can display this measurement using Prostate & SV Study.

<Operation method>

(Save each transverse image of the prostate to the hard disk in the equipment.)

(1) Display a transverse image of the prostate, and freeze it.

a. Press the STORE switch on the panel, and save the image to the memory of the equipment.

b. Unfreeze the image, then display a transverse view image of the prostate when the per rectum radial probe ispulled out 5mm, and freeze it.

c. Press the STORE switch on the panel, and save the image to the memory of the equipment.

d. Subsequently, repeat b and c until you reach the edge of the prostate.

(2) Recall and display each transverse image of the prostate that is stored in the memory of the equipment.

a. Press the REVIEW switch on the operation panel.→ All of the images stored in the memory are displayed.

b. Next, move the arrow to one of these images (any image at all), and rapidly press the ENTER switch twicein succession.→ As a result, the image of “a” is displayed.

(3) Select the PRS Slice Vol. on the touch panel.→ The + mark is displayed.

(4) Trace the circumference of the measurement area of the prostate, and press the ENTER switch.→ The trace closes to form a loop.


(6) Press the REVIEW switch on the operation panel, and select the Next Image on the touch panel.→ The image that was saved second is displayed.

7-10 MN1-5482 Rev.2



(7) Press the + switch.→ Using the same operation as that of (4), obtain the area of the prostate.

Next, using the same operation as that of (4), (5), (6), (7), trace the circumference of the remaining measurementarea of the prostate stored in the memory.

<Example of PRS Slice Volume results display>

Prostate Slice Volume Number of image slices during current measurement Pitch: Probe withdrawal distance Number of images used to calculate the volume of the prostate Volume of prostate

Presumed circle area ratio (Presumed Circle Area Ratio) Area of transverse view of prostate during current measurement Circumference of prostate during current measurement

PRS Slice VolSlice #Pitch: . mmVol.(# ~# ) . cm3

PCAR: .

Area: . cm2

Circ: . cm

MN1-5482 Rev.2 7-11



7-3-1-3. Seminal Vesicles measurement

Measure the size of the left and right seminal vesicles (A-P: Antero posterior diameter, R-L: Right-left diameter, S-I: Supero inferior diameter) from the longitudinal and transverse images of the seminal vesicles.The switching between the Right and Left can be made on the touch panel.The operation procedure for both kinds of measurement is the same.

[Remark]You can display this measurement using Prostate & SV Study.

<Operation method>

The case of the Right of the Seminal Vesicles is explained.

(1) Display the longitudinal and transverse images of each seminal vesicle in the 2B mode.

(2) Select the Seminal Vesicles, and select the Right on the touch panel.→ The + mark is displayed, so measure the antero posterior diameter (A-P) using the transverse image.

(3) Press the + switch.→ Measure the right-left diameter (R-L) using the transverse image.

(4) Press the + switch.→ Measure the supero inferior diameter (S-I) using the longitudinal image.


<Example of Seminal Vesicles results display>

Transverse View

R-L

A-P

Longitudinal View

S-I

Right Seminal Vesicles Anterior-posterior of Seminal Vesicle Right left of Seminal Vesicle Supero inferior of Seminal Vesicle

Rt.Seminal VSV-AP: . cmSV-RL: . cmSV-SI: . cm

7-12 MN1-5482 Rev.2



7-3-1-4. Bladder Volume measurement

Obtain the volume of the bladder before and after it is full, and calculate the amount of urine discharged from thedifference between these figures.Approximate the bladder to an ellipsoid, measure the major and minor axes of the transverse image (Width, A-P)and the length of the major axis of the longitudinal image (Length), and calculate the volume of the bladder.

[Remark]Measure these three axes in such a way that they intersect each other.The switching between the Pre Void and the Post Void can be made on the touch panel.The operation procedure for measuring the bladder both before and after urination is the same.[Remark]You can display this measurement using Prostate & SV Study, Bladder & Testis Study.

<Operation method>

(1) Display the longitudinal and transverse images of the bladder before urination in the 2B mode.

(2) Select the Bladder Volume, and select the Pre Void on the touch panel.→ The + mark is displayed, so measure the Length using the longitudinal image.



Volume(PreBldr Vol.) is computed.

(5) Display the vertical and transverse images of the bladder after urination in the 2B mode.

(6) Select the Bladder Volume, and select the Post Void on the touch panel.→ The + mark is displayed on the screen.

(7) Measure the three diameters using the same operation method as that for measuring Pre Void.→ Calculate and display the amount of urine discharged (Pre - Pst) from the volume obtained by Pre Bldr

Vol. measurement (PreBlrd Vol.) and the volume obtained by this measurement (Pst Bldr Vol.).


Transverse Image

Width

A-P

Longitudinal Image

Length

MN1-5482 Rev.2 7-13



<Example of Bladder results display>

[Remark]Calculate the amount of urine discharged (Void Volume) from the newest values of Pre and Pst Volume.

Pre Bladder Volume Volume of Bladder Length of Bladder Width of Bladder Anterior-posterior of Bladder

PreBldr Vol.Vol.: . mlBl-L: . cmBl-W: . cmBl-AP: . cm

Before urination

Post Bladder Volume Volume of Bladder Length of Bladder Width of Bladder Anterior-posterior of Bladder

Void Volume

PstBldr Vol.Vol.: . mlBl-L: . cmBl-W: . cmBl-AP: . cm

Void Volume: ml

After urination

7-14 MN1-5482 Rev.2



7-3-1-5. Testicle Volume measurement

Approximate each of the left and right testicles to an ellipsoid, measure the major and minor axes of the transverseimage (Width, A-P) and the length of the major axis of the longitudinal image (Length), and calculate the volumeof each testicle.

[Remark]Measure these three axes in such a way that they intersect each other.The switching between the Right and Left can be made with the touch panel.The operation procedure for both kinds of measurement is the same.[Remark]You can display this measurement using Bladder & Testis Study.

<Operation method>

The case of the Right of the Testis Volume is explained.

(1) Display the longitudinal and transverse images of the right testicle in the 2B mode.

(2) Select the Testis Volume, and select the Right on the touch panel.→ The + mark is displayed, so measure the Length using the longitudinal image.



Volume(Rt.Testis Vol.) is computed.


<Example of Testicle Volume results display>

Transverse Image

Width

A-P

Longitudinal Image

Length

Right Testicle Volume Volume of Testicle Length of Testicle Width of Testicle Anterior-posterior of Testicle

Rt.Testis VolVol. : . ccTst-L : . cmTst-W : . cmTst-AP: . cm

MN1-5482 Rev.2 7-15



7-3-1-6. Renal Volume measurement

Approximate each of the left and right renal volume to an ellipsoid, measure the major and minor axes of the trans-verse image (Width,A-P) and the length of the major axis of the longitudinal image (Length), and calculate the vol-ume of each renal.

[Remark]Measure these three axes in such a way that they intersect each other.The switching between the Right and Left can be made with the touch panel.The operation procedure for both kinds of measurement is the same.[Remark]You can display this measurement using Kidney Study.

<Operation method>

The case of the Right of the Renal Volume is explained.

(1) Display the longitudinal and transverse images of the right kidney in the B mode.

(2) Select the Renal Volume, and select the Right on the touch panel.→ The + mark is displayed, so measure the Length using the longitudinal image.



Volume (Rt.Renal Vol.) is computed.


<Example of Renal Volume results display>

Transverse Image

Width

A-P

Longitudinal Image

Length

Right Renal Volume Volume of Renal Lengthof Renal Width of Renal Anterior-posterior of Renal

Rt.Renal VolVol. : . ccRnl-L : . cmRnl-W : . cmRnl-AP: . cm

7-16 MN1-5482 Rev.2



7-3-1-7. Cortex Thickness measurement

Measure the three points of maximum thickness (T1, T2, T3) for each of the left and right renal cortexes.The switching between the Right and Left can be made with the touch panel.The operation procedure for both kinds of measurement is the same.

[Remark]You can display this measurement using Kidney Study.

<Operation method>

The case of the Right of the Cortex Thickness is explained.

(1) Display an image of the right kidney in the B mode.

(2) Select the Cortex Thickness, and select the Right on the touch panel.→ The + mark is displayed, so measure the Thickness1 using the longitudinal image.

(3) Press the + switch.→ Measure the Thickness 2.

(4) Press the + switch.→ Measure the Thickness 3.


<Example of Cortex Thickness results display>

← Right Cortical Thickness← Thickness1← Thickness2← Thickness3

Rt.Cortex TT1: . cmT2: . cmT3: . cm

MN1-5482 Rev.2 7-17



7-3-1-8. Adrenal measurement

Measure the major and minor axes (Width, A-P) of the transverse image, and the length of the major diameter(Length) of the longitudinal image, of the adrenal gland.The switching between the Right and Left can be made with the touch panel.The operation procedure for both kinds of measurement is the same.

[Remark]You can display this measurement using Kidney Study.

<Operation method>

The case of the Right of the Adrenal is explained.

(1) Display the longitudinal and transverse images of the right adrenal gland in the 2B mode.

(2) Select the Adrenal, and select the Right on the touch panel.→ The + mark is displayed, so measure the Length using the longitudinal image.




<Example of Adrenal results display>

Transverse Image

Width

A-P

Longitudinal Image

Length

Right Adrenal Length of Adrenal Width of Adrenal Anterior-posterior of Adrenal

Rt.AdrenalL : . cmW : . cmAP: . cm

7-18 MN1-5482 Rev.2



7-3-2. D mode

7-3-2-1. Renal Artery measurement

Trace the left and right renal artery flow Doppler waveforms (pulse method), and obtain the blood flow measurementdata (PI, RI, S/D), and so on.The switching between the Right and Left can be made with the touch panel.The operation procedure for both kinds of measurement is the same.[Remark]Use the systolic peak blood flow velocity (PSV) and the end-diastolic blood flow velocity (EDV) for computing PIand RI.There are reports to the effect that the end-diastolic minimum blood flow velocity is also used for these indexes.The diastolic blood flow velocity and the end-diastolic minimum blood flow velocity do not necessarily match eachother. Consequently, when starting these measurements, move the phase of EDV to the end-diastole or minimum bloodflow velocity point.Calculate PI and RI at the blood flow velocity at these points.[Remark]You can display this measurement using Kidney Study.

<Operation method>

The case of the Right of the Renal Artery is explained.

(1) Display the blood flow waveform of right renal artery.

(2) Select the Renal Artery, and select the Right on the touch panel.→ The line cursor (vertical line) is displayed. (+ mark in the case of the Manual Trace method)

(3) Using the Dop Trace method, measure the blood flow waveform.→ PI, RI, S/D, and so on, are measured, and line cursors accompanied

by the letters “S” and “D” are displayed.[Remark]Adjust the positions of the line cursors marked with the letters “S” and “D” us-ing the ENTER switch and the trackball.“S”: Peak Systolic Velocity point “D”: End Diastolic Velocity point[Remark]The method of using Dop Trace method differs depending upon whether Auto Trace or Manual Trace is used.For the operation method, refer to Section 1-7-4-5. "The measurement procedure of the Dop-Trace method".


<Example of Renal Arteries display>

S

D

Right Renal Artery Pulsatility Index Resistance Index PSV/EDV ratio Peak systolic velocity End diastolic velocity Mean velocity

Rt.Renal Art.PI : .RI : .S/D: .PSV: . cm/sEDV: . cm/sMnV: . cm/s

MN1-5482 Rev.2 7-19



7-3-2-2. Uro. Dop 1(— 4) measurement

You can register (or create) up to four measurements of renal artery blood flow other than the blood flow throughthe uterus or the ovaries by using the Preset function.The procedure for performing all of the blood flow measurements created here is the same as that for Section 7-3-2-1. "Renal Artery measurement".

<Example of Uro. Dop 1 display>

Uro.Doppler 1 Pulsatility Index Resistance Index PSV / EDV Ratio Peak systolic velocity End diastolic velocity Mean velocity

Uro.Dop1PI : .RI : .S/D: .PSV: . cm/sEDV: . cm/sMnV: . cm/s

7-20 MN1-5482 Rev.2

7-4.Report function


7-4. Report functionA report arranges and displays each index value and measurement value for Urological measurement and also relatedpatient information. A report displays only the results of measurement. You can register up to six measurement val-ues in a report.

[Remark]You can set the number of values to be registered using the Report Display of Preset.[Remark]Be sure to enter patient data (Patient ID, Name, etc.) on the ID screen.










Return Closes the report.Header Switches the header block (patient data display) between Long Form and Short Form.Prev., Next Advances or returns the page in block units.Study name Switch the study of the displayed report.Graph Displays the transition of the operation index values (PSA, Volume, etc.) of each organ from the

past to the present, in the form of a graph.US Image Displays an ultrasound image in the report.Output Outputs report data to a personal computer, Media or printer.

Study name

MN1-5482 Rev.2 7-21

7-4.Report function


7-4-2. Report Block

A report block is the unit used to display data (each set of urological measurement data).

It arranges pertinent ultrasound information such as Header (patient information) block, Site information (facilitiesinformation) block, and Prostate block.

7-4-2-1. Function for displaying the past reports

It can display the past reports that are on the requested exam. dates.However, it is not possible to Edit (revision / deletion) the past measurement records.




Comment



7-22 MN1-5482 Rev.2

7-4.Report function






(3) Select OK.


Push buttons

Text box Scroll bar

MN1-5482 Rev.2 7-23

7-4.Report function





<Operation method>






7-24 MN1-5482 Rev.2

7-4.Report function



[Remark]Like PI and RI measurement, there are two items of blood flow velocity data (PSV and EDV) within the period be-tween two heartbeats that are mutually related.Perform an editing operation so as to maintain the mutual time phase relationship.

(4) Change to a different measurement value:You can change a measurement value displayed on a report to a different measurement value.→ The displayed color of the selected part changes, so press OK.

[Remark]This function operates only when the setting “Always display the latest measurement value (last measurement value)on the report screen” is activated. If the result is set to the mean value, it remains unchanged regardless of what mea-surement value is selected.(Refer to Section 7-5-2. "PRESET list" Report Data)

MN1-5482 Rev.2 7-25

7-4.Report function



7-4-3-1. Prostate Report

Display the results of measuring Prostate & SV Study.

1) Prostate Report

2) Digital Findings function

Here, you can include comments in the results of a touch examination.The method of entering a comment is the same as that described in Section 7-4-2-2. "Comment input function".

Move the arrow to <Digital findings>, then press the ENTER switch to enter the comment.

3) Findings function

Here, you can enter and set comments concerning the ultrasound wave image of the prostate.The following two patterns are available for setting.

(1) Specifying a comment from the pull-down menu

a. Move the arrow to of the specified text box, and press the ENTER switch.→ A list of image comments is displayed.

b. Using the trackball, select the specified comment, and press the ENTER switch.→ The specified comment is transferred to the text box.

Digital Findings

PSA VolumePRS Slice V

Findings function

Text box Pull down menu

7-26 MN1-5482 Rev.2

7-4.Report function


(2) Directly entering (registering) a comment

a. Move the arrow into the text box, and press the ENTER switch.→ Enter a comment from the keyboard. The entered information is user-defined and registered in the

abovementioned list.

4) Seminal Vesicles Report

Pull down menu list List of comments List of comments

Mass No entryCysticSolidMixed

Symmetricity No entrySymmetricAsymmetricR > LL < R

Capsule No entryIntactDisruptedTURP

Echogenicity No entryNormalHypoechoicIsoechoicHyperechoicDiffuse

Prostatitis No entryYesNo

Lesion Location zone No entryPeripheralCentralTransition

Biopsy Location No entryYesNo

How many sticks 1 — 10

Rt./Lt. Seminal V

MN1-5482 Rev.2 7-27

7-4.Report function


7-4-3-2. Bladder Report

Display the results of measuring Bladder &Testis Study.

1) Bladder Report

2) Testicles Report

Pre./Pst. Bladder Volume

Rt./Lt. Testis Volume

7-28 MN1-5482 Rev.2

7-4.Report function


7-4-3-3. Kidney Report

Display the results of measuring Kidney Study.

1) Kidney Report

2) Findings function

Here, you can enter and set comments concerning ultrasound images of the kidneys.The setting method is the same as the procedure set out in 7-4-3-1.Prostate Report, 3)Findings function.

Pull down menu list List of comments

FindingAgenesis KidneySupernumerary KidneyHorseshoe KidneyCake KidneyPelvic KidneyHydronephrosisPolycystic KidneyMass- CysticMass-SolidMass-Mixed

Renal Volume

Cortical thickness

Renal Artery

MN1-5482 Rev.2 7-29

7-4.Report function


3) Adrenal Report

Adrenal

7-30 MN1-5482 Rev.2

7-4.Report function


7-4-4. Graph function

This function displays the transition of the operation index values (PSA, Volume, etc.) of each organ from the pastto the present, in the form of a graph.

[Remark]The graph function can be used in the measurement of the prostate, testicles, bladder and kidneys.

<Operation method>

(1) Move the arrow to the Graph on the Report, and press the ENTER switch.→ The Graph menu is displayed.

(2) Select the Graph name to be displayed, and select OK.→ A graph is displayed as shown below.

(3) To erase the Graph and return to the initial state, select the Graph once again.

Results summery

MN1-5482 Rev.2 7-31

7-4.Report function



This function automatically display the current ultrasound image acquired by the examiner in the US Image blockof the report.Also, by using the Review function at the bottom of the Report screen, it is possible to display all of the images storedin the connected medium (f.e. HDD and external media such as USB memory) as thumbnail images. You can alsoselect one of these images, and display it in the report.







7-32 MN1-5482 Rev.2

7-4.Report function









Select “Review” to change the imagedisplayed on the report.

MN1-5482 Rev.2 7-33

7-4.Report function



<Operation method>






[Remark]If you wish to select a number of images, repeat step (2).Pressing the ENTER switch on the selected image erases the blue border.


[Remark]Regarding the “Change View” functionBy selecting Change View at the bottom of the thumbnail display, you can also display past images for the samepatient as thumbnail display.[Remark]Each time you select Change View, the display conditions switch over between “current image only” and “currentand past images”. The particular set of conditions displayed is indicated at top right of the thumbnail screen.





1 2 3

4 5 6

7 8 9



7-34 MN1-5482 Rev.2

7-4.Report function










Printing starts.This function is ended withoutprinting taking place.

MN1-5482 Rev.2 7-35

7-4.Report function



This function enables you to make the minimum necessary detailed settings for a local printe and a B/W digitalprinter.









7-36 MN1-5482 Rev.2

7-4.Report function





(1) Select Output.→ The “Repeat study” dialog box is displayed.



[Remark]If you select Cancel, the system returns to the status that existed prior to the execution of this function.[Remark]The patient data and all of the data registered in the report (excluding the ultrasound image data) is output to a per-sonal computer as output data.

MN1-5482 Rev.2 7-37

7-4.Report function










7-38 MN1-5482 Rev.2

7-5.Preset function




The urological measurement preset consists broadly of the following three functions.




The preset functions related to urological measurements and their configuration are shown below.

Uro. PresetCreate Measurement Tools Setting of the items that are common to Urological measurement and Basic

measurements (hereafter called items).Basic Measurement Refer to Section 1-10. "PRESET FUNCTIONﾓ

Application Measurement Settings concerning the Urological. measurement to be used, Mark Style and result display.

Measurement Method & Display Items Selection and setting of each Urological measurement method, Mark Style and result display items.

B.Mode B mode measurement settings.M.Mode M mode measurement settings.D.Mode D mode measurement settings.F.Mode Flow mode measurement settings.

Caliper Mark Control Setting of the measurement mark size and dot line. Substituted by Basic measurement preset.

Unit Selection Setting of the display unit for performing Urological measurement. Substituted by Basic measurement preset.



Display Form Setting of Urological measurement result display style.Mark Display Setting for displaying a caliper mark

User’s Calculation Function is for making the registration of calculation formulas voluntarily by user.Reserved Word Function is for making the registration name (Reserved Word) voluntarily by user.


Defined study name Prostate & SV, Bladder & Testis, KidneyMenu Assignment Function that enables a measurement menu to be created and edited.Combined Report Display Function that enables the configuration of a report to be edited.Other Function that enables a selection of whether or not to display a measurement operation

guide message.



key is pressed.Measure SW Assignment Function that assigns the measurement function that operates when the User switch is pressed.Control Menu Assignment Assigning the control menu on the touch panel.

MN1-5482 Rev.2 7-39

7-5.Preset function


7-5-2. PRESET list

URO PresetReturns the registered contents to their default settings

Create Measurement ToolsBasic Measurement

Refer to Section 1.

Measured Method & Display Items (1/2)B mode measurement settings 1

Measured Method & Display Items (2/2)B mode measurement settings 2

Measured Method & Display Items (1/3)D mode measurement settings 1


7-40 MN1-5482 Rev.2

7-5.Preset function



Unit SelectionVolume unit settings

Caliper Auto Off

Off: Results and marks not erasedOn: Results and marks all erasedAll Mark Erase: Only marks erasedRemain Active Mark: Erases all marks other than for measurement during starting

Report DataSelects either average values or the latest valuesand sets the number of data items registered.Measurement data reuse On/OffPasting of Image

Display FormResult display window style and switches whether or not measurement item multiple displays display the measurements only during starting.Changing whether a simultaneous display with theBasic measurement or not

MN1-5482 Rev.2 7-41

7-5.Preset function


Mark DisplaySetting for displaying a caliper mark

User’s CalculationRegisters URO measurement equation.

Reserved WordRegisters user’s Reserved Word.

Study AssignmentSwitches the display on/off for built-in studies andregisters new studies.

Study AssignmentMenu AssignUrological measurement menu setting

7-42 MN1-5482 Rev.2

7-5.Preset function


Combined Report DisplayCombinations of measurement blocks displayed in reports

OtherMeasurement guide message display setting

SW Assignment+ Mark Key AssignmentRegisters the measurement started with the + mark

SW AssignmentHot key AssignmentRegisters measurements to the Keyboard.

SW AssignmentMeasure SW AssignmentRegisters measurements to measure switches.

Control Menu AssignmentRegisters to control menus on the touch panel.

MN1-5482 Rev.2 7-43




7-6-1. Calculation


Measurement name Calculation

PSA Volume

Volume(cm3)= 0.52 × Height × Width × LengthmPSA(ng/ml)= 0.12 × Volume × PSA CoefficientPSAD(ng/ml/g)= PSA × PSA Coefficient / Volume

PRS Slice Vol. Volume(cm3)= Σ Si × PitchPCAR= S / S’

PCAR: This is an index of how close the transverse image of the prostate is to a circle. It is defined as the ratio S/S’ where S’ is a presumed circle that has the same circumference as the area S of the maximum transverse image of the prostate.S: Maximum area of the prostate obtained using the Trace methodL: Circumference of the maximum area S of the prostate

S’: Area S’ is a presumed circle that has the same circumference L = π (L/2π)2

Bladder VolumeTestis VolumeRenal Volume

Volume(ml)= π / 6 × Length × Width × A − PVolume(cc)= 0.65 × Length × Width × A − PVolume(cc)= 0.49 × Length × Width × A − P

7-44 MN1-5482 Rev.2



7-6-2. References

7-6-2-1. B mode

(1) PSA Volume

Mitchell C.Benson et al. :THE USE OF PROSTATE SPECIFIC ANTIGEN DENSITY TO ENHANCE THE PREDICTED VALUE OF INTERMEDIATE LEVELS OF SERUM PROSTATE SPECIFIC ANTIGENThe Journal of Urology, Vol. 147, 817 - 821, March 1992

(2) mPSA

Peter J.Littrup MD et al. :Prostate Cancer Screening: Current Trends and Future Implications.CA - A CANCER JOURNAL FOR CLINICIANS VOL.42, No.4 199 - 211 JULY / AUGUST 1992

(3) PRS Slice Volume

Watanabe, J., Igari, D. et al. :Transrectal ultrasonotomography of the prostate.Journal of Urology, 114, 734 - 739

(4) PCAR

H.Ohe, D. et al:Journal of the Japan Society of Ultrasonics Medicine 1977 Vol.32 November P.121-122

(5) Seminal Vesicles

Barry B. Goldberg, M.D., Alfred B. Kurtz, M. D.Atlas of Ultrasound Measurements.Mosby Year Book Medical Publishers, INC. P177 - 178 ISBN 0 - 8151 - 3541 - 6

(6) Bladder Volume

Barry B. Goldberg, M. D., Alfred B. Kurtz, M. D.Atlas of Ultrasound Measurements.Mosby Year Book Medical Publishers, INC. P165 - 170 ISBN 0 - 8151 - 3541 - 6

(7) Testis Volume


V.Dornberger, G. Dornberger,M.Eggstein:Volumetrie des Hodens mittels Real-time-Sonograhie

MN1-5482 Rev.2 7-45



Ultrascall 7: 300 - 303, 1986

(8) Renal Volume


Hedvig Hricak, M. D., Ralph P. Lieto, M. S. E. :Sonographic Determination of Renal Volume1Radiology 148: 311 - 312, July 1983

7-6-2-2. D mode

(1) Renal Artery

Larry Burdick, Flavio Airoldi et al. :Superiority of acceleration and acceleration time over pulsatility and resistance indices as screening tests for renal artery stenosis.Journal of Hypertension 1996, 14: 1229 - 1235

(2) Renal Artery

Munier M. S. Nazzal, MD et al. :Renal Hilar Doppler Analysis Is of Value in the Management of Patients with Renovascular Disease.The American Journal of Surgery Vol.174: 164 - 168

7-46 MN1-5482 Rev.2

7-7.Abbreviation


7-7. Abbreviation


ACC Acceleration

AccT Acceleration Time

AccT/FT AccT/FT

Adrenal Adrenal

AP Antero posterior diameter

Area Area

Bl Bladder

Circ Circumference

Cortex Cortical


FlowT Flow time

L Length

MnV Mean Velocity

mPSA monoclonal PSA

PCAR Presumed Circle Area Ratio


Pitch Slice Pitch (interval)

PRS Prostate

Pre.Bldr Vol. Pre Bladder Volume

PRS Slice Volume Prostate Slice Volume by stepper method

PSA Prostate Specific Antigen

PSA COEF. PSA Coefficient

PSA Volume Prostate Specific Antigen Volume

PSAD PSA Density

Pst.Bldr Vol. Post Bladder Volume


Renal Art Renal Artery

Renal Vol. Renal Volume

RI Resistance Index

RL Right-Left diameter

Rnl Renal

Rt./Lt. Right/Left


SI Supero inferior diameter

MN1-5482 Rev.2 7-47

7-7.Abbreviation


Slice #@@ Slice Number=@@

SV Seminal Vesicles

T1 Cortex Thickness1



Testis Vol. Testicular Volume

Tst Testis

Uro Dop1 — 4 Uro Dop1 — 4

Vol. Volume

W Width


7-48 MN1-5482 Rev.2

7-7.Abbreviation


MN1-5482 Rev.2 8-1


8-1.Preface

8.eTRACKING Measurement

8. eTRACKING MEASUREMENT8-1. Preface

The description concerning the eTRACKING measurement functions is divided into the following four sub-sections.

8-1. Preface8-2. eTRACKING Measurement Functional Outline8-3. Report Function8-4. Preset Function

This section describes the procedure for carrying out eTRACKING measurements, based on the assumption thatproducts are on the factory default.

8-2. eTRACKING Measurement Functional Outline

8-2-1. Outline of Function

Using eTRACKING technology, calculate index of arteriosclerosis, such as the Elastic modulus (Ep) and theStiffness Parameter (β), which indicates the elastic characteristics of the vessel obtain by measuring from the bloodvessel diameter of the carotid artery and the blood pressure.Also calculate FMD (Flow Mediated Dilation) fromchanges in blood vessel diameter in the brachial artery.

8-2-2. Measurement operation procedure

For operating instructions on eTRACKING and FMD, refer to How to Use 12.eTRACKING, 13.Flow Mediated Di-lation analysis (FMD) and 14.Wave Intensity.

8-2 MN1-5482 Rev.2

8-3.Report function


8-3. Report functionThe Arterial Stiffness Report collates the various arteriosclerosis indexes, blood vessel diameter, blood pressure andensemble-averaged distention waveform and ECG waveform for each observed blood vessel. The data is presentedon the Report screen.The FMD Report collates the left and right FMD analysis results (index of arteriosclerosis, vessel diameter, bloodpressure, etc.) for the observed blood vessel stored on the HDD, and presents them on the Report screen.In the WI report, the index etc. that show the influence of the reflected wave from the index and the tip that showsthe contractility, the extendibility of the heart, and the hardness of the artery are arranged and it is displayed on thereport screen.

[Remark]Be sure to enter patient data (Patient ID, Name, etc.) on the ID screen.










Return Closes the report.

Header Switches the header block (patient data display) between Long Form and Short Form.

Prev., Next Advances or returns the page in block units.

Study name Switch the study of the displayed report.

US Image Displays an ultrasound image in the report.

Output Outputs report data to a personal computer, Media or printer.

Study name

MN1-5482 Rev.2 8-3

8-3.Report function


8-3-2. Report Block

A report block is the unit used to display data (each set of eTRACKING measurement data).

It arranges pertinent ultrasound information such as Header (patient information) block, Site information (facilitiesinformation) block, and Arterial Stiffness block.

8-3-2-1. Function for displaying the past reports

It can display the past reports that are on the requested exam. dates.However, it is not possible to Edit (revision / deletion) the past measurement records.




Comment



8-4 MN1-5482 Rev.2

8-3.Report function






(3) Select OK.


Push buttons

Text box Scroll bar

MN1-5482 Rev.2 8-5

8-3.Report function



8-3-3-1. Arterial Stiffness Report

Display the results of measuring eTRACKING.

1) Arterial Stiffness Report

2) FMD Report


Display for ensemblewaveform

Index of eacharteriosclerosis

Each index of FMD

8-6 MN1-5482 Rev.2

8-3.Report function


3) Wave Intensity Report


Display for ensemblewaveform

MN1-5482 Rev.2 8-7

8-3.Report function



This function automatically display the current ultrasound image acquired by the examiner in the US Image blockof the report.Also, by using the Review function at the bottom of the Report screen, it is possible to display all of the images storedin the connected medium (f.e. HDD and external media such as USB memory) as thumbnail images. You can alsoselect one of these images, and display it in the report.







8-8 MN1-5482 Rev.2

8-3.Report function










MN1-5482 Rev.2 8-9

8-3.Report function



<Operation method>






[Remark]If you wish to select a number of images, repeat step (2).Pressing the ENTER switch on the selected image erases the blue border.


[Remark]Regarding the “Change View” functionBy selecting Change View at the bottom of the thumbnail display, you can also display past images for the samepatient as thumbnail display.[Remark]Each time you select Change View, the display conditions switch over between “current image only” and “currentand past images”. The particular set of conditions displayed is indicated at top right of the thumbnail screen.





1 2 3

4 5 6

7 8 9



8-10 MN1-5482 Rev.2

8-3.Report function










Printing starts.This function is ended with-out printing taking place.

MN1-5482 Rev.2 8-11

8-3.Report function












8-12 MN1-5482 Rev.2

8-3.Report function





(1) Select Output.→ The “Repeat study” dialog box is displayed.



[Remark]If you select Cancel, the system returns to the status that existed prior to the execution of this function.[Remark]The patient data and all of the data registered in the report (excluding the ultrasound image data) is output to a per-sonal computer as output data.

MN1-5482 Rev.2 8-13

8-3.Report function



This function outputs the values registered in the report (measured values only) and the comment data to the con-nected medium(f.e. external media such as USB memory) as a CSV file.







8-14 MN1-5482 Rev.2

8-4.Preset function




The eTRACKING measurement preset consists broadly of the following three functions.




The preset functions related to eTRACKING measurements and their configuration are shown below.

eTRACKING. PresetCreate Measurement Tools Setting of the items that are common to eTRACKING measurement and Basic

measurements (hereafter called items).Basic Measurement Refer to Section 1-10. "PRESET FUNCTION"Application Measurement Settings concerning the eTRACKING measurement to be used, Mark Style and result

display.Measurement Method & Display Items Selection and setting of each eTRACKING measurement method, Mark Style and result

display items.M.Mode Setting of Arterial Stiffness measurement.

Report Data Setting of the number of the image on the report.eTRACKING Assignment of the Vessel Menu and user registration of the vessel name for

eTRACKING.Vessel Menu Assign Setting the assignment of the Vessel Menu as user chooses. User’s Name Setting the registration of the vessel name for eTRACKING as user chooses.


Defined study name eTRACKING, FMD, Wave IntensityMenu Assignment Function that enables a measurement menu to be created and edited.Combined Report Display Function that enables the configuration of a report to be edited.Other Function that enables a selection of whether or not to display a measurement operation

guide message.



key is pressed.Measure SW Assignment Function that assigns the measurement function that operates when the User switch is pressed.Control Menu Assignment Assigning the control menu on the touch panel.

MN1-5482 Rev.2 8-15

8-4.Preset function


8-4-2. PRESET list

eTRACKING PresetReturns the registered contents to their default settings

Create Measurement ToolsBasic Measurement

Refer to Section 1.

Measured Method&Display Items (1/1)M mode measurement setting

Report DataPasting of Image

eTRACKING Vessel Menu Assign Assignment of the Vessel Menu for eTRACKING

eTRACKING User’s NameUser registration of the vessel name for eTRACKING

8-16 MN1-5482 Rev.2

8-4.Preset function


Study AssingmentSwitches the display on/off for built-in studies and registers new studies.

Study Assignment Menu Assign eTRACKING measurement menu setting

Combined Report DisplayCombinations of measurement blocks displayed in reports

OtherMeasurement guide message display setting

SW Assignment+ Mark Key AssignmentRegisters the measurement started with the + mark

SW AssignmentHot key AssignmentRegisters measurements to the keyboard.

MN1-5482 Rev.2 8-17

8-4.Preset function


SW AssignmentMeasure SW AssignmentRegisters measurements to measure switches.

Control Menu AssignmentRegisters to control menus on the touch panel.

8-18 MN1-5482 Rev.2

8-4.Preset function


I N D E X ( M e a s u r e m e n t )

INDEX(Measurement)

MN1-5482 Rev.2

Symbols% STENO-Area measurement (Abdominal) 4-14% STENO-Area measurement (Vascular) 3-7% STENO-Diameter measurement (Abdominal) 4-13% STENO-Diameter measurement (Vascular) 3-6+ Mark Key Assignment 1-101

Numerics2Caliper 1-37

AAbdominal region arterial blood flow 4-15ACCEL 1-55Acceleration measurement 1-55Adrenal measurement 7-17Adrenal Report 7-29AF Pocket measurement 5-22AFI 5-9,5-91AFI table 5-133AFV measurement 5-22Already measured value reuse function 1-12Amnio Report 5-50Amniotic Fluid Index measurement 5-20Anatomy Check List (Gynecological) 6-25,6-40Anatomy Check List (Obstetrical) 5-48,5-78Anatomy Check List (Vascular) 3-34,3-53Angle Measurement 1-37Aortic valve 2-41AR Flow measurement 2-44Area-C measurement 1-32Area-E measurement 1-31Area-Length 2-28Area-Length measurement 2-11Area-T measurement 1-29Arterial Stiffness Report 8-5Artery1(-3) measurement 4-19AS Flow measurement 2-43Asynchrony Study 2-117Attaches an Image to a Report (Abdominal) 4-34Attaches an Image to a Report (eTRACKING) 8-7Attaches an Image to a Report (Gynecological) 6-27Attaches an Image to a Report (Obstetrical) 5-54Attaches an Image to a Report (Urological) 7-31Attaches an Image to a Report (Vascular) 3-38Attaching Ultrasound Image to Repor (Cardiac) 2-87Auto Paste function (Abdominal) 4-35Auto Paste function (Cardiac) 2-88Auto Paste function (eTRACKING) 8-8Auto Paste function (Gynecological) 6-28Auto Paste function (Obstetrical) 5-55

Auto Paste function (Urological) 7-32Auto Paste function (Vascular) 3-39Auxiliary line type marks 1-13AV Async. measurement 2-67AVA measurement 2-20

BB (Flow) mode 1-70B mode (Abdominal) 4-6B mode (Basic) 1-27B mode (Cardiac) 2-8,2-11B mode (Gynecological) 6-6,6-41B mode (Obstetrical) 5-11,5-92B mode (Urological) 7-6,7-44B mode (Vascular) 3-6,3-55B mode Calibration 1-76B mode LV Function 2-85B.Index 1-39B/D mode 1-65Basic Study Report 4-28Basic types of marks 1-13Biophysical Profile Scoring Report 5-49Bladder Report (Gynecological) 6-24Bladder Report (Urological) 7-27Bladder Volume measurement (Gynecological) 6-12Bladder Volume measurement (Urological) 7-12Blood Flow measurement 1-70Blood vessel diameter measurement 4-12BP-Ellipse measurement 2-15BPP Scoring 5-49,5-80,5-92B-Trace method 1-19Bullet measurement 2-19

CCalculation for B/D-mode (Basic) 1-108Calculation for B-mode (Abdominal) 4-48Calculation for B-mode (Basic) 1-105Calculation for B-mode (Cardiac) 2-103Calculation for B-mode (Gynecological) 6-40Calculation for B-mode (Obstetrical) 5-72Calculation for B-mode (Urological) 7-43Calculation for B-mode (Vascular) 3-52Calculation for D-mode (Basic) 1-106Calculation for D-mode (Cardiac) 2-109Calculation for D-mode (Obstetrical) 5-77Calculation for D-mode (Vascular) 3-52Calculation for M-mode (Basic) 1-106Calculation for M-mode (Cardiac) 2-106Calculation for M-mode (Obstetrical) 5-76Caliper Auto Off 1-86,1-88Caliper Mark Control 1-84

INDEX(Measurement)

MN1-5482 Rev.2

Caliper method 1-15Carotid Artery Report 3-29Carotid Artery Study measurement 3-12CBD measurement 4-7Cervix measurement (Gynecological) 6-8Cervix measurement (Obstetrical) 5-24Changing Measurement Application 1-10Changing Measurement Study 1-9Changing Study (Gynecological) 6-4Changing Study (Obstetrical) 5-10Changing Study (Urological) 7-4Changing Study (Vascular) 2-10,3-5Circle mark method 1-18Circle method 1-32Combined Report Display 1-100Comment input function (Abdominal) 4-25Comment input function (eTRACKING) 8-4Comment input function (Gynecological) 6-17Comment input function (Obstetrical) 5-37Comment input function (Urological) 7-22Comment input function (Vascular) 3-26Comment input function(Cardiac) 2-82Compound measurement items 5-77Congenital dislocation of hip joint 1-42Control Menu 1-104Coronary Flow 2-86Coronary Flow measurement 2-64Cortical Thickness measurement 7-16CTAR measurement 5-23CTR measurement 5-23CVS Report 5-50

DD mode (Abdominal) 4-15,4-48D mode (Basic) 1-51D mode (Cardiac) 2-9,2-41D mode (Gynecological) 6-13,6-42D mode (Obstetrical) 5-27,5-93D mode (Urological) 7-18,7-45D mode (Vascular) 3-12,3-55D mode Calibration 1-78D.Caliper1, 2 1-58D.Index 1-59D.Trace (1 - 2) 1-64D.Velocity1 1-53D.Velocity2 1-54Deceleration measurement 1-55Digital Findings function 7-25Display Form 1-87,1-89,1-90Display items 1-83,1-88Display mark 1-14Display, Mark of registered report (Abdominal) 4-5Display, Mark of registered report (Obstetrical) 6-5

Display, Mark of registered report (Urological) 7-5Display, Mark of registered report (Vascular) 3-5Displaying marks of registered reports 2-10,5-10Dist 1-27Distance measurement 1-27Dist-Trace 1-28Dop mode LVOT Flow 2-85Doppler Auto Trace method 1-21Doppler Index 2-115Doppler Manual Trace method 1-23Doppler Range 5-9Doppler Range table 5-134Dop-Trace method 1-21Drug & Serum input function 6-23

EEdi function (Abdominal) 4-25Edit function (Cardiac) 2-83Edit function (Gynecological) 6-18Edit function (Obstetrical) 5-38Edit function (Urological) 7-23Edit function (Vascular) 3-27Ellipse method 1-31Ending Measurement function 1-8Endom-T measurement 6-7Erasing individual marks 1-8

FFetal Heart Rate measurement 5-25Fetal Ratio tables by Gestational Age 5-89Fetal weight measurement 5-16Fetus Doppler PI measurement 5-27Fetus Doppler RI measurement 5-27Fetus Ratio measurement 5-18Fetus Weight 5-87Findings function (Abdominal) 4-27Findings function (Urological) 7-25,7-28Flow mode 2-73Flow Profile 1-70Flow volume (Abdominal) 1-68,4-20Flow volume (Basic) 1-65FMD Report 8-5,8-6Follicles measurement 6-10Follicles Report 6-21Functional List (Abdominal) 4-2Functional List (Basic) 1-24Functional List (Cardiac) 2-2Functional List (Gynecological ) 6-2Functional List (Obstetrical) 5-2Functional List (Urological) 7-2Functional List (Vascular) 3-2FW Equations 5-87FW Growth tables 5-88,5-125

INDEX(Measurement)

MN1-5482 Rev.2

FW measurement 5-8,5-16

GGA (gestational week) measurement 5-11GA Calculation tables 5-82GA Dating Graph 5-45GA table 5-82,5-96Gallbladder measurement 4-6GB Wall-T measurement 4-6General purpose index measurement 1-39,1-50,1-59Gibson measurement 2-25,2-32Gr-1 5-45Graf’s ultrasonic classification 1-45Graph 4-31Graph function (Obstetrical) 5-13,5-44Graph function (Urological) 7-30Growth Analysis Graph 5-47Growth chart 5-14GYN Report 6-20GYN. Dop 1( - 3) measurement 6-14

HHeart Rate measurement 1-48,1-52Hip J Angle 1-42Histogram measurement 1-40Hot Key Assignment 1-102

IImage, can be attached to Report (Abdominal) 4-34Image, can be attached to Report (Cardiac) 2-87Image, can be attached to Report (eTRACKING) 8-7Image, can be attached to Report (Gynecological) 6-27Image, can be attached to Report (Obstetrical) 5-54Image, can be attached to Report (Urological) 7-31Image, can be attached to Report (Vascular) 3-38InterV.Async. measurement 2-68Interval Growth Rate 5-34,5-47,5-127Interval Growth Rate Table 5-89IntraV.Async. measurement 2-40IVC measurement 2-27,2-39

KKidney Report 7-28

LLA(RA) Volumes 2-114LA/AO measurement 2-22,2-38Left Atrial Volume measurement 2-28,2-30Left atrial-Aortic valve measurement 2-38Length measurement 1-46Limit for holding attached images (Abdominal) 4-34Limit for holding attached images (eTRACKING) 8-7

Limit for holding attached images (Gynecological) 6-27Limit for holding attached images (Obstetrical) 5-54Limit for holding attached images (Urological) 7-31Limit for holding attached images (Vascular) 3-38Liver measurement 4-7Lower Extremity Artery Report 3-33Lower Extremity Artery Study measurement 3-15Lower Extremity Venous Report 3-33Lower Extremity Venous Study measurement 3-18LV Function measurement 5-26LV Mass(AL) measurement 2-24LV Volumes 2-113LVOT Flow measurement 2-41,5-31

MM mode (Basic) 1-46M mode (Cardiac) 2-8,2-32M mode (Obstetrical) 5-25,5-92M mode Calibration 1-77M mode LV Function 2-85M TDI measurement 2-73M TDI mFS measurement 2-74M TDI MT (LVPW) measurement 2-77M TDI MT(IVS) measurement 2-77M.Index 1-50M.VEL 1-49Manual Paste function (Abdominal) 4-36Manual Paste function (Cardiac) 2-89Manual Paste function (eTRACKING) 8-9Manual Paste function (Obstetrical) 5-56Manual Paste function (Urological) 7-33Manual Paste function (Vascular) 3-40Mark Display 1-87max-IMT measurement 3-10Mean VEL 1-60Mean velocity measurement 1-60mean-IMT measurement 3-8Measure SW Assignment 1-103Measured Method 1-83,1-88Measurement Menu 1-9Menu Assign 1-98Mitral Valve 2-51Mitral Valve Area measurement 2-21Mitral Valve measurement 2-35Modified Simpson measurement 2-17MR Flow measurement 2-55MS Flow measurement 2-54Multiple pregnancies 5-32MVA measurement 2-21

NNormal Range 5-88

INDEX(Measurement)

MN1-5482 Rev.2

OOB Dop 1( - 3) measurement 5-29Operation using IMT Method (Vascular) 3-11Output to CSV file (Abdominal) 4-40Output to CSV file (Cardiac) 2-93Output to CSV file (eTRACKING) 8-13Output to CSV file (Gynecological) 6-33Output to CSV file (Obstetrical) 5-60Output to CSV file (Urological) 7-37Output to CSV file (Vascular) 3-44Output to Personal Computer (Abdominal) 4-39Output to Personal Computer (Cardiac) 2-92Output to Personal Computer (eTRACKING) 8-12Output to Personal Computer (Gynecological) 6-32Output to Personal Computer (Obstetrical) 5-59Output to Personal Computer (Urological) 7-36Output to Personal Computer (Vascular) 3-43Ovarian Artery measurement 6-13Ovary measurement 6-9

PP1/2T 1-57Pancreas measurement 4-8Panel switch 1-3Past reports, displaying (Abdominal) 4-24Past reports, displaying (Cardiac) 2-81Past reports, displaying (eTRACKING) 8-3Past reports, displaying (Gynecological) 6-16Past reports, displaying (Obstetrical) 5-36Past reports, displaying (Urological) 7-21Past reports, displaying (Vascular) 3-25Pasting Image, instead of Existing Image (Gynecological) 6-29Patient Information (Gynecological) 6-20Patient Information (Obstetrical) 5-40P-Duct measurement 4-8Performing a measurement using Ellipse 1-16PI 1-61PISA measurement 2-58Plaque Score Report 3-30Point 1-38Pombo measurement 2-25,2-32Portal vein Measurement 4-17PR Flow measurement 2-48Preload Index measurement 5-30Preset function (Abdominal) 4-41Preset function (Cardiac) 2-94Preset function (eTRACKING) 8-14Preset function (Gynecological) 6-34Preset function (Urological) 7-38Preset function (Vascular) 3-45Preset Function(Basic) 1-79Preset screen, Buttons 1-80

Preset screen, Displaying 1-80Preset setting buttons 1-81Preset Settings (Obstetrical) 5-61Preset, Initializing 1-81Pressure half time 1-57Printing Function (Abdominal) 4-37Printing Function (Cardiac) 2-90Printing Function (eTRACKING) 8-10Printing Function (Gynecological) 6-30Printing Function (Obstetrical) 5-57Printing Function (Urological) 7-34Printing Function (Vascular) 3-41Prolate method 1-35Property function (Abdominal) 4-38Property function (Cardiac) 2-91Property function (eTRACKING) 8-11Property function (Gynecological) 6-31Property function (Obstetrical) 5-58Property function (Urological) 7-35Property function (Vascular) 3-42Prostate Report (Urological) 7-25Proximal isovelocity surface area measurement 2-58PRS Slice Volume measurement 7-8PS Flow measurement 2-47PSA Volume measurement 7-6Pulmonary Valve 2-45Pulmonary Valve measurement 2-37Pulmonary Vein Flow measurement 2-49Pulsatility Index 1-61PV Flow 2-118PV. Dop 1( - 2) measurement 3-23

RRatio measurement 2-23,5-8Ratio Normal Range 5-131Regurg flow 1-63Regurgitation flow measurement 1-63Renal Artery measurement 7-18Renal Volume measurement 4-9,7-15Report (Obstetrical) 5-41Report Block (Abdominal) 4-24Report Block (Cardiac) 2-81Report Block (eTRACKING) 8-3Report Block (Gynecological) 6-16Report Block (Obstetrical) 5-36Report Block (Urological) 7-21Report Block (Vascular) 3-25Report Data 1-89Report function (Abdominal) 4-23Report function (Cardiac) 2-80Report function (eTRACKING) 8-2Report function (Gynecological) 6-15Report function (Obstetrical) 5-35

INDEX(Measurement)

MN1-5482 Rev.2

Report function (Urological) 7-20Report function (Vascular) 3-24Report of multiplet 5-52Reserved Word 1-91Reserved Word Registration 1-95Resistance Index 1-56RI 1-56RI ,PI tables by Gestational Age 5-91Right Ventricular Diameter measurement 2-21RVD measurement 2-21RVOT Flow measurement 2-45,5-31

SSeminal Vesicles measurement 7-11Seminal Vesicles Report 7-26Shunt blood flow Measurement 4-17Simpson 2-30Simpson(Disc) measurement 2-13Spheroidal method 1-34Spleen measurement 4-10Starting from + switch 1-4Starting from Hot key 1-7Starting from MEASUREMENT switch 1-6Starting measurement 1-4,1-5Steno flow 1-62Stenosis flow measurement 1-62Study Assignment 1-97SV/CO 1-68SW Assignment 1-101Switching, Right and Left (Vascular) 3-4

TTCD Study 3-20TDI PW MA measurement 2-60TDI PW measurement 2-60Teichholz measurement 2-25,2-32Testicle Volume measurement 7-14Testicles Report 7-27Three-Point Specifications, Automatic Trace 1-36Time 1-47Time measurement 1-47,1-51Time to Onset measurement 2-69Time to Peak measurement 2-71TR Flow measurement 2-57Trace method 1-29Trans M Flow 2-118Trans M Flow measurement 2-51Transcranial Doppler measurement 3-20Transcranial Doppler Report 3-34Transfer Function, Application Measurement 1-11Tricuspid Valve 2-56Tricuspid Valve measurement 2-36TS Flow measurement 2-56

UUnit Selection 1-85Upper Extremity Artery Report 3-32Upper Extremity Artery Study measurement 3-15Upper Extremity Venous Report 3-32Upper Extremity Venous Study measurement 3-18Uro. Dop 1( - 4) measurement 7-19User’ Calculation 1-91Uterine Artery measurement 6-13Uterus measurement 6-6

VVCR Calibration 1-74VCR playback measurement 1-74Velocity measurement 1-49,1-53,1-54Volume 1-33

WW. Trace 4-32W. Trace Function 3-36

INDEX(Measurement)

MN1-5482 Rev.2

MN1-5482 Rev.2

MN1-5482 Rev.2 010100 20090925

MANUFACTURER ALOKA CO.,LTD.

Aloka Co., Ltd.22-1, Mure 6-chome, Mitaka-Shi, Tokyo, 181-8622 Japan Tel : +81-422-45-6049

URL:http:// www.aloka.com

Overseas Offices:ALOKA EUROPE Technical Center

Carl-Zeiss-Strasse 5, D-72555 Metzingen, Germany

Aloka Co., Ltd. Singapore Office1, Maritime Square, #10-32/32A, HarbourFront Centre, Singapore, 099253

Distributor

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